Ultrasound Video showing the Torsion of the testis with a small ill-defined mass. скачать в хорошем качестве

Ultrasound Video showing the Torsion of the testis with a small ill-defined mass.

This video shows the Torsion of the testis with a small ill-defined mass. Scrotal ultrasound is used to check blood flow. Decreased blood flow to the testicle is a sign of testicular torsion. But ultrasound doesn't always detect the reduced blood flow, so the test might not rule out testicular torsion Intermittent torsion is defined as sudden onset of unilateral testicular pain of short duration with spontaneous resolution. Testicular torsion is a twisting of the spermatic cord and its contents and is a surgical emergency affecting 3.8 per 100,000 males younger than 18 years annually. It accounts for 10% to 15% of acute scrotal disease in children and results in an orchiectomy rate of 42% in boys undergoing surgery for testicular torsion. Immediate recognition and treatment are necessary, and torsion must be excluded in all patients who present with acute scrotum. Testicular torsion is a clinical diagnosis, and patients typically present with severe acute unilateral scrotal pain, nausea, and vomiting. Physical examination may reveal a high-riding testicle with an absent cremasteric reflex. If history and physical examination suggest torsion, immediate surgical exploration is indicated and should not be postponed to perform imaging studies. There is typically a four- to the eight-hour window before permanent ischemic damage occurs. Delay in treatment may be associated with decreased fertility or may necessitate orchiectomy.