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Type:
Educational Exhibit
Keywords:
Trauma, Inflammation, Haemorrhage, Diagnostic procedure, MR, Pelvis, Genital / Reproductive system male, Emergency
Authors:
T. B. Autran1, B. Tessarollo2, T. C. D. Moraes1, F. Noro2, A. S. A. D. Melo3, R. A. Rodrigues1, J. B. S. Lima1, D. D. D. Maia1; 1Rio de Janeiro/BR, 2Rio De Janeiro, Ri/BR, 3Niterói , Ri/BR
DOI:
10.1594/ecr2017/C-2111
Findings and procedure details
A retrospective analysis of the MR exams performed in the last 11 years in the emergency set of two large hospitals in Rio de Janeiro.
These MR imaging studies revealed cases of: penile bruising,
penile fractures,
thrombosis of the penile dorsal vein,
testicular hematoma,
orchiepididymitis,
testicular abscess and testicular torsion.
The main imaging findings and differential diagnoses of these conditions are presented and discussed,
along with its importance in the treatment orientation and the need for a surgical approach.
MR Imaging Protocols
To perform an adequate evaluation of the penis and scrotum,
the patient should be placed in supine position with a towel placed between thighs in order to elevate the scrotum.
The penis should be dorsiflexed and fixed in the anterior abdominal wall to prevent movement (3).
In our series,
a basic MR imaging protocol for male urogenital emergencies was performed,
including additional imaging sequences according to clinical history.
For example,
in cases of suspected infection or suspected abscess,
axial DWI was added to identify fluid purulent collections.