US of acute scrotal trauma: Optimal technique, imaging findings, and management

Corinne Deurdulian, Carol A. Mittelstaedt, Wui K. Chong, Julia R. Fielding

Research output: Contribution to journalArticle

87 Citations (Scopus)

Abstract

The primary causes of scrotal trauma are blunt, penetrating, degloving, and electrical burn injuries to scrotal contents. Knowledge of the scrotal anatomy and appropriate imaging techniques are key for accurate evaluation of scrotal injuries. Ultrasonography (US) is the first-line imaging modality to help guide therapy for scrotal trauma, except in degloving injury, which results in scrotal skin avulsion. Blunt injury (eg, from an athletic accident or motor vehicle collision) is the most common cause of scrotal trauma, followed by penetrating injury from gunshot or other assault. Trauma often may result in hematoma, hydrocele, hematocele, testicular fracture, or testicular rupture. The timely diagnosis of rupture, based on a US finding of discontinuity of the echogenic tunica albuginea, is critical because emergent surgery results in salvage of the testis in 80%-90% of rupture cases. The radiologist should be familiar also with other nuances associated with penetrating trauma, iatrogenic and postoperative complications, and electrical injury. Color flow and duplex Doppler imaging are highly useful techniques not only for assessing testicular viability and perfusion but also for evaluating associated vascular injuries such as pseudoaneurysms. A thorough familiarity with the US findings of scrotal trauma helps facilitate appropriate management. Supplemental material available at radiographics.rsnajnls.org/cgi/content/full/27/2/357/DC1.

Original languageEnglish (US)
Pages (from-to)357-369
Number of pages13
JournalRadiographics
Volume27
Issue number2
DOIs
StatePublished - Mar 1 2007

Fingerprint

Ultrasonography
Wounds and Injuries
Rupture
Testicular Hydrocele
Hematocele
Nonpenetrating Wounds
Vascular System Injuries
False Aneurysm
Motor Vehicles
Hematoma
Accidents
Sports
Testis
Anatomy
Color
Perfusion

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology
  • Medicine(all)

Cite this

US of acute scrotal trauma : Optimal technique, imaging findings, and management. / Deurdulian, Corinne; Mittelstaedt, Carol A.; Chong, Wui K.; Fielding, Julia R.

In: Radiographics, Vol. 27, No. 2, 01.03.2007, p. 357-369.

Research output: Contribution to journalArticle

Deurdulian, Corinne ; Mittelstaedt, Carol A. ; Chong, Wui K. ; Fielding, Julia R. / US of acute scrotal trauma : Optimal technique, imaging findings, and management. In: Radiographics. 2007 ; Vol. 27, No. 2. pp. 357-369.
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