skrotales Hämatom

Scrotal
ultrasonography of a 58-year-old man with non-traumatic swelling of the left scrotum for a couple of weeks. It shows a hematocele, as a fluid volume with multiple thick septations. The hematocele displays no blood flow on Doppler ultrasonography. A pyocele has a similar appearance, but was excluded by lack of inflammation.The testicle is pressed to the side (upper left in image).

Epididymal
haematoma: multiparametric ultrasonographic findings.. Long axis grey-scale image showing the circumscribed hypoechoic lesion with some internal echogenic septations and debris which was situated in the right paratesticular tissues.

Epididymal
haematoma: multiparametric ultrasonographic findings.. Colour Doppler technique revealed no vascularity within the lesion and only limited blood flow signals at its periphery.

Epididymal
haematoma: multiparametric ultrasonographic findings.. A more delayed image confirms the complete absence of perfusion within the lesion along with the presence of increased vascularity at its periphery.

Acute scrotal
ultrasound: a practical guide. Scrotal trauma. a Testicular rupture. Longitudinal US of the right testis in a 19-year-old male following jet ski accident. There is disruption of the tunica albuginea (arrowheads) and extrusion of a large amount of the inferior pole of the testis (annotated by letter E); the normal tunica albuginea is noted more superiorly (arrow). Also note surrounding hematocele (asterisk). The patient underwent debridement and repair with preservation of the superior aspect of the right testis. b Testicular fracture. Longitudinal US of the left testis in a 47-year-old who sustained a traumatic scrotal injury after being struck by a baseball traveling at high velocity. The thin hypoechoic band (arrows) corresponds to the testicular fracture line. Orchiectomy was performed due to extent of injury. c Penetrating testicular trauma with intrascrotal gas. Transverse US of the left testis in a 25-year-old who sustained a traumatic scrotal injury after a hand gun discharged while in the patient’s pants pocket. A focal defect (arrow) along the lateral aspect of the left testis corresponds to a site of tunica albuginea rupture and tubule extrusion. A cluster of amorphous echogenic foci with mild posterior shadowing in the testicular parenchyma are due to intratesticular gas. The patient was treated with orchiectomy
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