[Ischemic orchiditis: review of 5 cases diagnosed by color Doppler ultrasonography].
OBJECTIVE
To study color-doppler ultrasoundfeatures of testicular infarction caused by orchiepididymitis, a severe complication of orchiepididymitis.


METHODS
and Methods. Five patients were included over a 2 year period. All presented with more than 24 hours of pain. A final diagnosis of testicular infarction caused by orchiepididymitis and color doppler ultrasound was available in all cases.


RESULTS
All patients showed doppler ultrasound signs of testicular ischemia. Either vascularisation was not detectable or intratesticular resistive index was increased with a negative diastolic flow. Orchidectomy was performed in all patients.


CONCLUSIONS
Color doppler examination of the scrotum should include measurement of intratesticular resistive index. An elevated RI can be suggestive of ischemia.
Lefort
C
C
Service d'imagerie médicale, Hopital Charles Nicolle, CHU de Rouen, Cedex, France.
Thoumas
D
D
Badachi
Y
Y
Gobet
F
F
Pfister
C
C
Dacher
J N
JN
Benozio
M
M
D000328:Adult; D000368:Aged; D005334:Fever / Q000209:etiology; D006801:Humans; D015994:Incidence; D007238:Infarction / Q000150:complications / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D007511:Ischemia / Q000150:complications / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D007964:Leukocytosis / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009919:Orchiectomy; D009920:Orchitis / Q000150:complications / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D010146:Pain / Q000209:etiology; D012189:Retrospective Studies; D012720:Severity of Illness Index; D013737:Testis / Q000098:blood supply*; D013997:Time Factors; D018615:Ultrasonography, Doppler, Color / Q000379:methods; D014555:Urination Disorders / Q000209:etiology; D014655:Vascular Resistance
Orchites ischémiques: A propos de 5 cas diagnostiqués en écho-Doppler couleur.