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ECR 2018 / C-0065
Emergency ultrasound assessment of acute scrotal pain, a pictorial and pathological review.
Congress: ECR 2018
Poster No.: C-0065
Type: Educational Exhibit
Keywords: Education and training, Diagnostic procedure, Ultrasound-Colour Doppler, Ultrasound, Genital / Reproductive system male, Emergency
Authors: M. P. Brassil1, C. O Brien1, P. Govender1, W. Torreggiani2; 1Dublin/IE, 2Dublin 24/IE


The acute scrotum often presents as sudden onset of pain or swelling or a combination of both.The majority of causes may be treated conservatively; however, torsion of the spermatic cord requires immediate surgery to salvage the testis and preserve fertility.

The role of ultrasound in the acute scrotum is to narrow the differential diagnosis to allow conservative management or expedite surgery. The superficial location of the testis coupled with high-frequency linear transducers allows detailed grey-scale sonographic and sensitive colour Doppler imaging. 

In this exhibit we will discuss the imaging features of emergencies including testicular torsion, epididymo-orchitis, testicular fracture or laceration, infarcted testes as well as less common and more interesting pathologies.

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