Harlequin testicle and other uncommon pathologies masquerading at routine scrotal ultrasound.
Many scrotal conditions manifest similarly as pain, swelling, a palpable abnormality, or a combination of these symptoms. Most common scrotal pathologies have characteristic accompanying sonographic findings. Less common pathologies can have similar clinical presentations, and imaging with scrotal ultrasound is required to aid in proper diagnosis. This article focuses on several of these less commonly encountered scrotal pathologies--including testicular segmental infarction, scrotal filariasis, scrotal mesothelioma, seminiferous tubule fibrosis, and scrotal leiomyosarcoma--and compares and contrasts them to more routine diagnoses. Familiarity with both typical and atypical scrotal conditions is necessary to make accurate diagnoses at ultrasound to guide appropriate treatment and avoid unnecessary surgery.
*Department of Radiology University of Washington; †Diagnostic Imaging Service, VA Puget Sound Health Care System-Seattle Division; ‡Department of Radiology, and §School of Medicine, University of Washington, Seattle, WA.
Jonathan R
JR
Medverd
Larissa
L
Peguero
Dhairyasheel P
DP
Patel
D003287:Contrast Media; D003937:Diagnosis, Differential; D006801:Humans; D007089:Image Enhancement / Q000379:methods; D008297:Male; D013733:Testicular Diseases / Q000000981:diagnostic imaging* / Q000473:pathology; D013737:Testis / Q000000981:diagnostic imaging* / Q000473:pathology; D018615:Ultrasonography, Doppler, Color
D003287:Contrast Media