Skrotaltrauma

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.. Contrast-enhanced ultrasonographic image shows that there is no sign of vascularity within the lesion. There is mildly increased vascularity at the periphery of the lesion.

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.

Epididymal

haematoma: multiparametric ultrasonographic findings.. Colour-coded elastographic image shows the lesion to be predominantly homogeneously soft except for the part where multiple colours can be seen. (Blue colour represents soft and red colour represents hard tissue).

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