By Brigitte Martin, M. Donon, H. Hricak
Ultrasonography is a longtime process used as an sonographic findings are illustrated with prime quality adjunct to the actual exam within the assessment photos reflecting the author's long term adventure. of scrotal illnesses. This publication offers the reader with The publication is meant to be an entire consultant to a complete evaluation of testicular illnesses and the sensible ultrasound functions of testicular illnesses of those illnesses on ultrasonography. visual appeal for the physicians in education, normal radiologists, and Dr. Martin is among the top investigators who ultrasound experts. The contents combine the es early famous the price and enthusiastically pursued sential scientific features of a number of the ailments the potential of ultrasound for the analysis of scrotal (symptoms, actual findings, epidemiology) with in illnesses. Her adventure has been accrued over seve formation relating their prognosis and remedy. ral years, so the richness and intensity of description of in accordance with vast own event, the writer the panoply of scrotal illnesses is certainly comprehen succeeds brilliantly in offering a entire in sive. The specific description of the method should still sight into the issues of testicular diseases.
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Additional resources for Atlas of Scrotal Ultrasound
B Paramedian section: Visualisation of epididymal head in a normal position and not enlarged. Conclusion: No features to suggest inflammation, but signs suggesting a loose torsion having little effect on the epididymis or testis. -Jc Sediment ---1--+-... Fig. 37. Subacute torsion of spermatic cord. Differential diagnosis with scrotal trauma. Ultrasound performed on a foreign patient who was confused and unintelligible. Definite testicular pain with slight enlargement. Transverse section. Epididymal head is slightly less echogenic than the testis, itself virtually normal.
Enlargement of the whole of the epididymis, heterogeneous, poorly distinguished from the testis particularly in the region of the body. Note a sessile hydatid. b Sagittal section inferior pole. Beneath the lower pole of the testis there is a significant inflammatory infiltration of the investing layers. c Transverse section of the asymptomatic right testis: showing anterior displacement of the hilum by a large nodular hypoechoic mass within the testis. Diagnosis: Testicular tumour, in this clinical context-lymphoma.
B Transverse section. The vessel is seen as a transonic circular structure without acoustic enhancement posteriorly. In the absence of a varicocele, it corresponds to a nonnal branch of the testicular artery. A typical Doppler arterial signal can be obtained using pulsed Doppler The acute scrotum It is a group of conditions with similar clinical features : - Sudden onset of signs; - severe scrotal pain; - a rapid increase in the size of the scrotal sac; - the appearance of signs of local inflammation, concomitant or secondary.