[The use of ultrasonography in the acute scrotum edema in children].
Ultrasound dopplerography of testicles and high-frequency ultrasonography of the spermatic cord were used to increase the efficiency of diagnostics at the acute scrotum edema in children. The signs of testicular torsion are the thickening of the spermatic cord from 7 to 33 mm, its helical structure (like cochlea), decrease or the termination of a blood flow in the spermatic cord. The combination of sonographic signs testifies about testicular torsion without dependence from prescription of clinical manifestation of the disease. Not always it was possible to visualize the sessile hydatid separately from epididymis during procedure. But such indirect signs as expansion of the epididymis twice and its heterogeneity specified the sessile hydatid involvement. False-negative results of ultrasonography were received in third of all cases of testicular torsion. The given phenomenon was marked when intraorganic blood flow in testicles was defined with ultrasound at the beginning of disease. The further introduction of ultrasound dopplerography and high-frequency ultrasonography into clinical practice will allow to improve results of treatment of children with acute testicular diseases.
Minaev
S V
SV
Bolotov
Iu N
IuN
Pavliuk
N N
NN
D000208:Acute Disease; D001783:Blood Flow Velocity; D002648:Child; D003937:Diagnosis, Differential; D004487:Edema / Q000000981:diagnostic imaging* / Q000503:physiopathology; D005832:Genital Diseases, Male / Q000000981:diagnostic imaging* / Q000503:physiopathology; D006801:Humans; D008297:Male; D015203:Reproducibility of Results; D012611:Scrotum / Q000098:blood supply / Q000000981:diagnostic imaging*; D012720:Severity of Illness Index; D018608:Ultrasonography, Doppler / Q000379:methods*