title: [Evaluation of color Doppler flow imaging in the diagnosis and differential diagnosis of spermatic cord torsion].
abstract: OBJECTIVE
  To distinguish spermatic cord torsion from acute orchitis by color Doppler flow imaging (CDFI).
  
  
  METHODS
  Thirteen patients with acute orchialgia were examined by CDFI. The clinical data of diagnosis and treatment were reviewed and analyzed.
  
  
  RESULTS
  The findings of CDFI showed lower or even no blood flow in the testes in 8 cases, which were diagnosed as spermatic cord torsion. Among them, 1 received manual detorsion and 7 were proved by operations. The other 5 showed abundant blood flow signal in the testes and were diagnosed as acute orchitis or epididymo-orchitis. After the use of antibiotics, their symptoms were relieved and the blood flow of the testes reduced upon reexamination.
  
  
  CONCLUSIONS
  CDFI plays an important role in the diagnosis and differential diagnosis of spermatic cord torsion, and could be regarded as a detecting method of first choice for patients of acute orchialgia.
authors: Department of Urology, Nanjing General Hospital, Nanjing Command, PLA, Nanjing, Jiangsu 210002, China.
authors: Shui-Gen
authors: SG
authors: Zhou
authors: Qing-Xin
authors: QX
authors: Meng
authors: Zheng-Yu
authors: ZY
authors: Zhang
authors: Lian
authors: L
authors: Wang
authors: Jian-Ping
authors: JP
authors: Gao
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D009920:Orchitis / Q000000981:diagnostic imaging; D013086:Spermatic Cord Torsion / Q000000981:diagnostic imaging*; D013737:Testis / Q000098:blood supply / Q000000981:diagnostic imaging; D018615:Ultrasonography, Doppler, Color / Q000379:methods*