Author/Editor		Vidmar, Dubravka; Višnar-Perovič, Alenka
Title		Torzija moda - diagnostika z ultrazvočno preiskavo po doplerju - prikaz primera
Translated title		Testicular torsion - diagnosis by color duplex sonography - a case report
Type		članek
Source		In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 10. mednarodni simpozij o urgentni medicini; 2003 jun 11-14; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2003
Volume		str. 190-4
Language		slo
Abstract		Introduction. Testicular torsion is a true surgical emergency due to occlusion of the efferent and/or afferent blood vesssels with consequent ishemia following within the next four hours.This condition requires emergency operation and can be diagnosed by color duplex sonography which excludes other causes of acute scrotum: inflammation, traumatic testicular rupture and some other rare conditions, which usually do not necessitate surgery. Patient and method. A 29-year old man with a history of sudden and severe right side scrotal pain was admitted to the urology department. After a three day's treatement for orchoepididymitis the condition didn't improve so an US examination was performed. Results. The B-mode image showed an enlarged hypoechogenic and nonhomogeneous right testis. Golor duplex sonography demonstrated a complete absenee of venous and arterial blood flow. The left testis was normaf in the B-mode image and had normal perfusion as well. The diagnosis of torsion was confirmed operatively. Semicastration was performed because testicular viability was eompletely lost. Conclusion. Color duplex sonography is a rapid and effective method to confirm or exclude test-ticular torsion as a cause of acute scrotum. It improves reliability of decision fof prompt surgical correction and prevents semicastration.
Descriptors		SPERMATIC CORD TORSION ADULT ULTRASONOGRAPHY, DOPPLER, COLOR