Scrotal hematocele as an unusual presentation of blunt abdominal trauma in three male infants

Three infants presented with bluish discoloration and swelling of the scrotum with no history of scrotal trauma. Sonography revealed unilateral hematoceles in 2 cases and bilateral hematoceles in the third. All 3 infants had intact testes. The communicating hematoceles were the result of hemoperitoneum due to splanchnic hematoma.     

Sonographic findings in a case of scrotal lymphangioma

The scrotum is an extremely rare site for lymphangioma. We report the case of a scrotal lymphangioma in a 20‐year‐old male patient who developed painless scrotal swelling. Typical sonography and MRI findings are shown. Surgical excision and histopathology confirmed the diagnosis. © 2013 Wiley Periodicals, Inc. J Clin Ultrasound 42:234–236, 2014     

Evaluation of extratesticular findings in scrotal neoplasms

The significance and incidence of skin thickness, hydroceles, and epididymal size were evaluated in cases of testicular neoplasm. Skin thickness is unreliable and should not be used to differentiate pathological conditions without standardizing technique. Small hydroceles are common in scrotal neoplasms. Epididymal enlargement was seen in many cases of testicular neoplasia and cannot be used alone as a criterion to differentiate malignant from nonmalignant states.     

Intrahepatic biliary calculi: correlation of unusual MR findings with pathologic findings

We report a case of intrahepatic biliary calculi. A localized dilated intrahepatic duct of the left lateral segment of the liver was filled with material that showed marked hyperintensity on T1- and T2-weighted magnetic resonance (MR) images. These MR findings are unusual for intrahepatic stones. Pathologically, the stones were muddy bilirubin calculi, the chemical and physical characteristics of which are surmised to have been the cause of the unusual MR findings.     

ECG findings in nonpenetrating chest trauma: a review

Significant ECG findings frequently accompany blunt chest trauma. Surface ECG in conjunction with creatinine phosphokinase (CPK) isoenzyme assay, has been an accepted standard for diagnosis of posttraumatic cardiac dysfunction, or "cardiac contusion." Studies employing recently developed noninvasive cardiac imaging techniques have called this practice into question and have shed new light on the pathophysiology of this clinical entity. As a result, it is appropriate to review the ECG manifestations of blunt chest trauma and to reappraise the utility of the ECG in its evaluation. This article will concern itself solely with nonpenetrating cardiac injuries not requiring initial surgical management, since clinical presentation, course, and prognosis differ when operative therapy is indicated.     

Pelvic and scrotal trauma: CT and triage of patients

Traumatic dislocation of the testicles was first reported during crush injury but is now more commonly related to motor vehicle accidents. Approximately 55 cases had been reported by 2003. Virtually no papers discuss the role of CT in the rapid diagnosis of penoscrotal trauma, although most polytrauma or “pelvic trauma” patients are rapidly evaluated by CT in the emergency room setting. As more patients with pelvic trauma are triaged and evaluated using CT scanners with greater multidetector capability, more patients will be seen with testicular injury. It is important for the emergency physicians, radiologists, and traumatologists not to overlook unsuspected cases of penoscrotal injury which are typically initially evaluated by history, physical exam, and ultrasound. We describe a recent case of initial diagnosis of bilateral testicular dislocation from blunt trauma using modern multidetector CT imaging technique.     

Scrotal involvement in Madelung disease: clinical, ultrasound and MR findings

Multiple symmetrical lipomatosis, also known as Madelung disease, Launois-Bensaude syndrome, and benign symmetrical lipomatosis, is an uncommon disease that is characterized by the presence of multiple and symmetrical deposits of nonencapsulated adipose tissue in the neck, upper trunk, arms, and legs. It affects mainly men, with a higher incidence in the Mediterranean area, and is typically associated with high alcohol consumption and a high prevalence of peripheral neuropathy that usually appears long after the development of lipomatous masses. We report the case of a patient with involvement of the scrotum. We present clinical, ultrasound, and magnetic resonance appearances of these scrotal lipomatous masses for the first time.     

Cystic lesions and scrotal fluid collections in adults: Ultrasound findings

The widespread use of scrotal ultrasonography (US) has led to increased detection of testicular and extratesticular pathologies. Cystic or encapsulated fluid collections are relatively common benign lesions that usually present as palpable testicular lumps. Most cysts arise in the epidydimis, but all anatomical structures of the scrotum can be the site of their origin. US may suggest a specific diagnosis for a wide variety of intrascrotal cystic and fluid lesions and appropriately guide therapeutic options. US should be used as an adjunctive diagnostic modality after clinical evaluation of a scrotal lesion associated or not with the presence of a lump.     

Calf enlargement associated with neurologic disease: two uncommon cases

Muscle enlargement and hypertrophy are rare findings in neurogenic lesions. The two in combination have been reported in cases of peripheral nerve lesions, polyneuropathy, and poliomyelitis. True and pseudo muscle hypertrophy are the two possible etiologies, whereas infiltration, stretch, or exercise of the muscle are the causative factors. We report two cases of unilateral calf enlargement, one occurring after surgery for S1 radiculopathy with associated cramping, and the other after poliomyelitis.     

Results of testicular sonography in boys. 2. Sonographic detection and differentiation of diseases in the scrotal region in boys

We evaluated 249 boys with various intrascrotal diseases. Sonography has in the scrotal region a high sensitivity and specificity as well as good capability for differential diagnosis. It is especially in childhood for intrascrotal disease the technical method of first choice for diagnostics.     

高频超声诊断成人阴囊闭合性损伤

目的 探讨高频超声在成人阴囊闭合性损伤中的价值.方法 对40例经手术病理及随访证实的成人阴囊闭合性损伤的高频超声表现进行回顾性分析.结果 成人阴囊闭合性损伤声像图表现可分为阴囊壁血肿(8例),睾丸挫伤(7例),睾丸血肿(7例),睾丸破裂(16例)和睾丸扭转(2例)五种类型.而血肿型可分为包膜下及睾丸内血肿,破裂型可分为部分破裂和完全破裂(碎裂)型.高频超声对阴囊闭合性损伤诊断准确率为97.5%(39/40).结论 高频超声不仅能对成人阴囊闭合性损伤准确诊断,而且对指导治疗有重要价值.     

Ultrasonography of tubular ectasia of the rete testis with associated scrotal findings

Purpose

Tubular ectasia of the rete testis (TERT) is a rare disorder that can be seen on ultrasonography (US) during a routine examination. In this study, we aim to discuss 15 cases of TERT and concomitant scrotal pathologies.

Methods

A total of 405 patients who were admitted to our department between March 2009 and December 2011 for scrotal US with different complaints such as scrotal pain, palpable mass, infertility, varicocele, or hydrocele were evaluated. Presence or absence of TERT and associated scrotal anomalies if TERT was present were considered on gray-scale US and color Doppler US.

Results

Tubular ectasia of the rete testis was detected in 15 patients (3.7 %). It was unilateral in eleven patients (73.3 %) and bilateral in four patients (26.7 %). The mean age of the patients with TERT in this study was 43.7 years (range 24–85 years). Five patients (33.3 %) with TERT presented with infertility, four of them (26.7 %) presented with palpable mass, and six of them (40%) were admitted with scrotal pain. In 14 patients (93.3 %), at least one of the following disorders associated with TERT was seen: epididymal cyst, spermatocele, hydrocele, and varicocele.

Conclusion

Tubular ectasia of the rete testis shows characteristic appearances on gray-scale and Doppler US evaluation, and no other modality is necessary for diagnosis. TERT is usually associated with epididymal pathologies such as epididymal cyst or spermatocele located on the same side. Testicular neoplasms, intratesticular varicocele, and cystic dysplasia of the testis should be considered in the differential diagnosis of TERT.