A case of testicular torsion demonstrated on contrast enhances ultrasound.

Syed A., Pranay P., Chua N., Naleem A., Mahmood I., Khan S.

Purpose. To demonstrate the potential of contrast enhanced ultrasound (CEUS) for the diagnosis of torsion taking the example of a man with equivocal clinical findings. Materials and Methods. A 43 year old gentleman with no significant past medical history presented to the Accident and emergency following acute onset right testicular pain. The clinical differential was of either epididymo-orchitis or testicular torsion. Results. The patient underwent an ultrasound scan which revealed a normal left testicle but a swollen right testicle with no discernible flow on Doppler, thus raising the suspicion of acute torsion. To increase our confidence of the diagnosis the patient was im-mediately cannulated and a contrast enhanced ultrasound was performed. Within a few seconds, microbubbles could be seen within the parenchymal blood vessels in the left testicle as expected, however microbubbles could not be seen within the right testicle even after 5 minutes of scanning. The clinical team were informed of the findings and the patient was taken directly to theatre where testicular torsion was confirmed and orchidopexy was per-formed, preserving function of the right testicle. Conclusions. In order to exclude testicular torsion, the imaging modality of choice which is used is ultrasound.

1 - Basildon university hospital. Essex, UK. 2 - Frimley Health NHS Trust. Surrey, UK. 3 - London northwest Healthcare NHS Trust. London, UK.

 

 

 

 

 

Keywords:ultrasound, contrast enhanced ultrasound, epididymo-orchitis, testicle torsion.

 

Corresponding author:Mahmood I, e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Syed A., Pranay P., Chua N., Naleem A., Mahmood I., Khan S.. A case of testicular torsion demonstrated on contrast enhances ultrasound. REJR 2017; 7(4):161-163. DOI:10.21569/2222-7415-2017-7-4-161-163.

Received: 22.09.2017 Accepted: 08.11.2017