No abstract available.
Rupture* ; Scrotum* ; Ultrasonography*

A retrospective study was undertaken to assess the importance of ultrasonography in the 22 patients with traumatized scrotum who were explored surgically. Ultrasonography was highly accurate, readily available, noninvasive diagnostic method. Also ultrasonography was valuable in the evaluation of the degree of injury and determination of early therapeutic modality. We believe that ultrasonography is the method of choice in the initial evaluation of traumatized scrotum.
Humans ; Retrospective Studies ; Scrotum* ; Ultrasonography*

Localized fibrous tumor of the scrotum is a very rare disease, and few radiologic features have been reported. We report the sonographic and CT findings of a case of localized fibrous tumor, which developed in the scrotum of a thirty-years-old man.
Mesothelioma* ; Rare Diseases ; Scrotum* ; Ultrasonography

The decision between continued medical therapy and surgical exploration in patients with traumatized scrotum is difficult. We evaluated scrotal ultrasound as a non-invasive aid in such problematic cases. During s 42 months period. 17 patients were hospitalized for treatment of traumatized scrotum. All of them underwent careful physical examination and scrotal ultrasound. The results were as follows.; 1. In the appropriate clinical setting. ultrasound provides objective information supporting the need for surgical intervention in patients with traumatized scrotum and prevents unnecessary operation. 2. The results of treatment in 12 cases of 13 cases who underwent conservative treatment were good. 3. Scrotal ultrasound is necessary as soon as possible in traumatized scrotum and testicular salvage rates are improved markedly when early surgical correction of a ruptured tunica albuginea is performed. 4. Ultrasound is noninvasive and effective single diagnostic method in scrotal injury.
Humans ; Physical Examination ; Scrotum* ; Ultrasonography*

Intrascrotal lymphangioma is a rare benign lesion of uncertain etiology. A 2-year-old male and a 3-year-old male presented with painful swelling of the right scrotum. After sonographic examination of scrotums, both cases were explored and found to have cystic scrotal masses separated from testes and epididymies. Histopathologic study of the resected specimens confirmed intrascrotal lymphangiomas.
Child, Preschool ; Humans ; Lymphangioma* ; Male ; Scrotum ; Testis ; Ultrasonography

Ectopic scrotum is extremely rare and refers to the anomalous position of one hemiscrotum along the inguinal canal. Only two cases of ectopic scrotum have been reported in Korea. We experienced a case of unilateral ectopic scrotum with crytorchidism. The penis showed normal in appearence. The ectopic scrotum with cryptorchidism was found on the left inguinal area. And there was left ipsilateral renal agenesis on the ultrasonogram and DMSA renal scanning. We successfully performed scrotoplasty and orchiopexy.
Cryptorchidism* ; Inguinal Canal ; Korea ; Male ; Orchiopexy ; Penis ; Scrotum* ; Succimer ; Ultrasonography

Cystic lymphangioma is a relatively rare congenital malformation of the lymphatic system. It is very rare that retroperitoneal cystic lymphangioma was detected by prenatal ultrasonography. There has been no case reported that scrotal cystic lymphangioma was detected by prenatal ultrasonography. We detected a cystic structure with multiseptation in the scrotum at 30 weeks gestation. In addition, we detected the same structure in the retroperitoneum at 35 weeks gestation by routine ultrasonography. Because of increasing size of the cyst, we performed induction delivery at 38 weeks gestation. Operation of the neonate was performed on the 13th day after birth by a pediatric surgeon and the mass was excised and confirmed as cystic lymphangioma. We experienced a case of huge cystic lymphangioma of the retroperitoneum and scrotum by prenatal sonography and report our case with a brief review of literature.
Fetus* ; Humans ; Infant, Newborn ; Lymphangioma, Cystic* ; Lymphatic System ; Parturition ; Pregnancy ; Scrotum* ; Ultrasonography ; Ultrasonography, Prenatal

Being located in the hypogastric area, the ilioinguinal nerve, together with iliohypogastric nerve, can be damaged during lower abdominal surgeries. Conventionally, the diagnosis of ilioinguinal neuropathy relies on clinical assessments, and standardized diagnostic methods have not been established as of yet. We hereby report the case of young man who presented ilioinguinal neuralgia with symptoms of burning pain in the right groin and scrotum shortly after receiving inguinal herniorrhaphy. To raise the diagnostic certainty, we used a real-time ultrasonography (US) to guide a monopolar electromyography needle to the ilioinguinal nerve, and then performed a motor conduction study. A subsequent US-guided ilioinguinal nerve block resulted in complete resolution of the patient's neuralgic symptoms.
Burns ; Diagnosis* ; Electromyography* ; Groin ; Herniorrhaphy ; Needles ; Nerve Block ; Neuralgia ; Scrotum ; Ultrasonography*

Color Doppler ultrasonography was performed in 41 patients with the acute onset of scrotal pain. of the 32 cases of 33 inflammatory diseases (epididymitis n=19, epididymo-orchitis n=12, orchitis n=1) color Doppler image demonstrated increased epididymal or testicular flow. Color Doppler ultrasonography correctly predicted the need for surgery in 5 of 9 operated patients and correctly predicted the outcome in all 32 nonoperated patients. In the two cases of 3 detorsions which were evident in color Doppler ultrasonography was incorrectly diagnosed with testis scintigraphy. Color Doppler ultrasonography is more effective than testis scintigraphy. Results show that color Doppler ultrasonography helps accurately correlate anatomy and perfusion in real time and may prove to be the definitive imaging technique for the diagnostic evaluation of the acute scrotum.
Humans ; Male ; Orchitis ; Perfusion ; Radionuclide Imaging ; Scrotum* ; Testis ; Ultrasonography, Doppler, Color*

The torsion of appendix testis is the second most common disease of the acute scrotal diseases in frequency. Despite recent development of diagnostic equipments, its differential diagnosis is often difficult and its treatment is controversial. We reviewed retrospectively 19 cases who were diagnosed to have torsion of appendix testis during recent 6 years. The mean age was 11.3 years. Five cases who had blue dot sign and tender mass on upper pole of testis, and one of 9 who had been examined with scrotal ultrasonography were diagnosed to have torsion of appendix testis, but other clinical finding and laboratory findings were not contributable to its diagnosis. Nine of 14 cases who were diagnosed by surgical exploration were consistent with the preoperative impression. Mean duration of scrotal pain were 1.3 days in surgical treatment group and were 3.6 days in conservative treatment group. The pathognomonic sign of torsion of appendix testis was seen only in a few cases. The diagnostic accuracy of torsion of appendix testis before exploration was low. The scrotal pain was relieved relatively more rapidly in surgical treatment group. So, we think that surgery was more desirable in diagnosis and treatment of torsion of appendix testis.
Appendix* ; Diagnosis ; Diagnosis, Differential ; Diagnostic Equipment ; Retrospective Studies ; Scrotum* ; Testis* ; Ultrasonography