By Brigitte Martin, M. Donon, H. Hricak
Ultrasonography is a longtime strategy used as an sonographic findings are illustrated with top of the range adjunct to the actual exam within the assessment pictures reflecting the author's long term adventure. of scrotal ailments. This e-book presents the reader with The ebook is meant to be an entire consultant to a accomplished review of testicular ailments and the sensible ultrasound functions of testicular ailments of those illnesses on ultrasonography. visual appeal for the physicians in education, normal radiologists, and Dr. Martin is likely one of the prime investigators who ultrasound experts. The contents combine the es early well-known 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 collected over seve formation touching on their analysis and therapy. ral years, so the richness and intensity of description of according to huge own adventure, the writer the panoply of scrotal ailments is certainly comprehen succeeds brilliantly in offering a entire in sive. The certain description of the approach may still sight into the issues of testicular diseases.
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Extra resources for Atlas of Scrotal Ultrasound
Almost normal size of testis but very abnormal echo pattern: diffuse hypoechogenicity but heterogeneous, punctuated by small scattered hyperechoic areas. Tunica albuginea abnormally visible: testicular infarction. Note a small fluid collection in the postero- inferior interepididymo- testicular recess. Conclusion: Tight torsion of cord in the subacute stage with necrosis of the testis. Surgical confirmation: tight torsion of two turns. - Fig. 33. Tight torsion of the spermatic cord in the subacute stage.
Sagittal section: testis with normal echo pattern including the inferior pole but slightly hypotrophic (thickness less than 20 mm). Inferiorly the tail of the epididymis appears enlarged, heterogeneous, hypoechoic, punctuated with echogenic areas. Note also the thickened investing layers. Abscess at the tail of the epididymis requiring a segmental epididymectomy Adhesions Localised subcapsular fibrosis Fig. 57. Fibrosis. Four months after subcapsular haematoma of the testis. Sagittal section: fibrosis of the residual cavity appearing as a small echogenic band deep to the anterior part of the tunica albuginea in the mid part of the testis.
It is more difficult in the rare acute cases of diffuse seminoma. The negative signs are the most important to differentiate it from epididymo- orchitis; namely, a normal epididymis and absence of thickening of the investing layers. - In cases of lymphoma, the appearances can be deceptive, especially if bilateral. The key finding is the nodular appearance of the clearly hypo echoic areas within the testis. In these three circumstances, the results of the ultrasound examination are vital since they confirm the presence of a testicular tumour and lead to surgical exploration by the inguinal approach.
Atlas of Scrotal Ultrasound by Brigitte Martin, M. Donon, H. Hricak