By Brigitte Martin, M. Donon, H. Hricak
Ultrasonography is a longtime approach used as an sonographic findings are illustrated with prime quality adjunct to the actual exam within the assessment photographs reflecting the author's long term adventure. of scrotal illnesses. This publication offers the reader with The e-book is meant to be a whole advisor to a accomplished evaluate of testicular ailments and the sensible ultrasound functions of testicular illnesses of those ailments on ultrasonography. visual appeal for the physicians in education, basic radiologists, and Dr. Martin is likely one of the top investigators who ultrasound experts. The contents combine the es early well-known the worth and enthusiastically pursued sential medical features of a few of the illnesses the aptitude of ultrasound for the analysis of scrotal (symptoms, actual findings, epidemiology) with in ailments. Her event has been collected over seve formation relating their prognosis and remedy. ral years, so the richness and intensity of description of in keeping with huge own adventure, the writer the panoply of scrotal ailments is certainly comprehen succeeds brilliantly in offering a complete in sive. The distinct description of the method should still sight into the issues of testicular diseases.
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Extra resources for Atlas of Scrotal Ultrasound
Ultrasound in a fifteen year old adolescent on the second day since onset of pain in the testis which had been surgically fixed in childhood. a Sagittal section. Small atrophic testis, hypoechoic. Posteriorly is an echogenic band corresponding to the cord. b Transverse section. The very echogenic epididymis is larger than the hypotrophied testis. Conclusion: The appearances are not those of an epididymo-orchitis but are suggestive of a torsion (despite the previous history of orchidopexy). Surgically confirmed Spermatic cord Fig.
Fracture of the testis This requires some form of surgical intervention which aims to conserve the whole or part of the testis. - Either there is a large tear of several centimetres with a disruption of the tunica albuginea and associated evisceration of the parenchyma which is easily recognisable, Table 3. Principal traumatic lesions of the testis in order of decreasing severity Multifragmented and shattered Fracture -complete -partial width of the breach through the tunica albuginea ± evisceration of the pulp ± Haematoma - subcapsular - perihilar Contusion - or there is only a limited rupture of the tunica albuginea and it is in these cases where ultrasound may be of value.
34a, b. Subacute torsion of the cord in crypt-orchidism corrected surgically during childhood. Ultrasound in a fifteen year old adolescent on the second day since onset of pain in the testis which had been surgically fixed in childhood. a Sagittal section. Small atrophic testis, hypoechoic. Posteriorly is an echogenic band corresponding to the cord. b Transverse section. The very echogenic epididymis is larger than the hypotrophied testis. Conclusion: The appearances are not those of an epididymo-orchitis but are suggestive of a torsion (despite the previous history of orchidopexy).
Atlas of Scrotal Ultrasound by Brigitte Martin, M. Donon, H. Hricak