Keywords:
Abdomen, Genital / Reproductive system male, Pelvis, Ultrasound, Ultrasound-Colour Doppler, Outcomes analysis, Quality assurance
Authors:
D. Luong, S. Lock, D. Chua, J. Coucher
DOI:
10.26044/ranzcr2023/C-62
Results
200 consecutive patients who underwent ultrasound scrotum were analysed. 150 out of 200 patients were excluded including 62 referred by ED for investigation other than torsion, 63 not referred by ED, 16 ED paediatric, and 7 cancelled/duplicate. A total of 50 adult emergency department patients who underwent ultrasound scrotum for suspected testicular torsion were included. The average age was 32.26 years. Urological consult was made in 43 (86%) out of 50 scans. Subsequent ultrasound scrotum was ordered for equivocal cases of low torsion clinical suspicion, median onset time of 2 days, and both, in 31 (72%), 22 (51%), and 10 (23%) out of 43 patients respectively. Ultrasound scrotum was ordered without urological consult in 7 out of 50 scans for equivocal cases with low suspicion, median onset time of 3 days, and both in 7 (100%), 4 (57%), and 4 (57%) respectively. Reported findings included 25 (50%) normal, 9 (18%) epididymitis, 4 (8%) epididymo-orchitis, 3 (6%) epididymal cyst, 3 (6%) varicoceole, 2 (4%) abscesses, 2 (4%) inguinal hernias, 1 (2%) orchitis, 1 (2%) microcalcification, and 1 (2%) torsion, which was consulted by urology resulting in emergent orchidopexy. The single positive torsion case that resulted in emergent orchidopexy was a result of ultrasound scrotum in an equivocal case consulted by urology.