TY - JOUR
T1 - Subacute scrotal pain
T2 - Evaluation of torsion versus epididymitis with MR imaging
AU - Trambert, Michael A.
AU - Mattrey, Robert F.
AU - Levine, Deborah
AU - Berthoty, Dean P.
PY - 1990/4
Y1 - 1990/4
N2 - Torsion knot and whirlpool patterns result from the twisting of the spermatic cord, which produces distortion of cord structures. These two findings, along with spermatic cord vascularity, were used to prospectively differentiate testicular torsion from epididymitis in 11 patients with subacute scrotal pain who underwent magnetic resonance (MR) imaging. The final diagnosis was established clinically in four patients and surgically in five. MR imaging enabled the recognition of each entity without error. Retrospective review of findings highlighted other potential discriminating features, the most important of which were testicular size and vascularity. Because of its ability to highlight vessels and detail normal and abnormal intrascrotal anatomy, MR imaging in this small series enabled the differentiation of subacute torsion from epididymitis with 100% accuracy. This high degree of accuracy warrants further investigation.
AB - Torsion knot and whirlpool patterns result from the twisting of the spermatic cord, which produces distortion of cord structures. These two findings, along with spermatic cord vascularity, were used to prospectively differentiate testicular torsion from epididymitis in 11 patients with subacute scrotal pain who underwent magnetic resonance (MR) imaging. The final diagnosis was established clinically in four patients and surgically in five. MR imaging enabled the recognition of each entity without error. Retrospective review of findings highlighted other potential discriminating features, the most important of which were testicular size and vascularity. Because of its ability to highlight vessels and detail normal and abnormal intrascrotal anatomy, MR imaging in this small series enabled the differentiation of subacute torsion from epididymitis with 100% accuracy. This high degree of accuracy warrants further investigation.
KW - Epididymitis, 847.219
KW - Testis, MR studies, 847.1214
KW - Testis, torsion, 847.89, 847.1437
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U2 - 10.1148/radiology.175.1.2315504
DO - 10.1148/radiology.175.1.2315504
M3 - Review article
C2 - 2315504
AN - SCOPUS:0025354935
SN - 0033-8419
VL - 175
SP - 53
EP - 56
JO - RADIOLOGY
JF - RADIOLOGY
IS - 1
ER -