Testicular torsion - intravaginal
Diagnosis certain
Updates to Case Attributes
Body
was changed:
The appearances areappearance is in keeping with testicular torsion:.
a. AlteredTesticular findings
-
altered echogenicity of the testicular parenchyma
b. Absence doppler -
absence Doppler activity in the testicular parenchyma
c. A mal-aligned - a malaligned testicular axis
with associatedAssociated signs of:
d. Epididymal
-
epididymal thickening
e. Hydrocele. - hydrocele
Thanks to Mr Yusri Yahya, Urologist, RIPAS Hospital, Brunei for the intra-operative images.
-<p>The appearances are in keeping with testicular torsion:</p><p>a. Altered echogenicity of the testicular parenchyma</p><p>b. Absence doppler activity in the testicular parenchyma</p><p>c. A mal-aligned testicular axis</p><p>with associated signs of:</p><p>d. Epididymal thickening</p><p>e. Hydrocele. </p><p>Thanks to Mr Yusri Yahya, Urologist, RIPAS Hospital, Brunei for the intra-operative images.</p>- +<p>The appearance is in keeping with testicular torsion.</p><p><em>Testicular findings</em></p><ul>
- +<li>altered echogenicity of the testicular parenchyma</li>
- +<li>absence Doppler activity in the testicular parenchyma</li>
- +<li>a malaligned testicular axis</li>
- +</ul><p><em>Associated signs:</em></p><ul>
- +<li>epididymal thickening</li>
- +<li>hydrocele</li>
- +</ul><p>Thanks to Mr Yusri Yahya, Urologist, RIPAS Hospital, Brunei for the intra-operative images.</p>
Presentation
was changed:
Updates to Study Attributes
Findings
was changed:
Both testicles contain microlithiasis. The symptomatic testicle has altered echogenicity of the testicular parenchyma and absence doppler flow. This wasis accompanied by a small reactive hydrocele and a thickened epididymis.
During scanning it was essentially impossible to get a true longitudinal view suggesting a mal-aligned axis to the testicle.
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