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ECR 2018 / C-0065
Emergency ultrasound assessment of acute scrotal pain, a pictorial and pathological review.
Congress: ECR 2018
Poster No.: C-0065
Type: Educational Exhibit
Keywords: Education and training, Diagnostic procedure, Ultrasound-Colour Doppler, Ultrasound, Genital / Reproductive system male, Emergency
Authors: M. P. Brassil1, C. O Brien1, P. Govender1, W. Torreggiani2; 1Dublin/IE, 2Dublin 24/IE
DOI:10.1594/ecr2018/C-0065

Conclusion

 

378 emergency adult and 94 emergency paediatric ultrasounds were performed in our center during the 4 year period we examined. A wide range of pathologies were identified with specific ultrasound features.

 

 

Although there are innumerable abnormalities of the scrotum, there are key features of the commonest and most critical disease processes.

 

The most frequent indications for ultrasound are exclusion of torsion of the spermatic cord or epididymitis. 

When torsion of the spermatic cord is identified clinically, ultrasound is not indicated but immediate surgical exploration should be undertaken. Only in equivocal cases should ultrasound be used to exclude other causes, with the main abnormality, epididymitis, demonstrating characteristic features on ultrasound.

 

This exhibit gives a comprehensive aid to accurate diagnosis and subsequent prompt intervention where required.

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