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    Go to the top of the page   ID: 20030417103834 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Hydatid torsion
    Dirk Schaper, V Hofmann. Hydatid torsion. PedRad [serial online] vol 3, no. 4.
    URL: www.PedRad.info/?search=20030417103834


     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Dirk Schaper, V. Hofmann (Halle/S.)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    12 Years  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    Pelvis-Testis  

     
     Pediatric Radiology CasesMost likely etiology:

    physical  

     
     Pediatric Radiology CasesHistory:

    12 year-old boy with stabbing pains in the left hemiscrotum. No vomiting, no swelling, no redness. Slight pain on pressure of the testicles. The testicles and epididymis were able to be palpated well. Maximum point of pain was at the testicular-epididymal border.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    Torsion of an embryonic rest of the testes or epididymis.  

     
     Pediatric Radiology CasesRadiological findings:


    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: Depiction of the testicals in relation to each side. Echogenic structure on the left testicular-epididymal border, no stimulation effusion.




    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Color doppler depiction of vascularisation of the testicular capsule. The echogenic structure shows no flow signal.




    OP-Situs 1 <- view OP-Situs 1

    OP-Situs 1: Large testicular pedicle-turned Morgani hydatide with beginning infarction.

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    N/A  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Primary rejection of a testicular torsion through ultrasound. Surveillance of the course of illness. If symptoms persist, surgical removal.  

     
     Pediatric Radiology CasesComments of the author about the case:

    Because of high-resolution sonography, it has become possible to more critically state the indication for surgical repair of an acute scrotum. Hydatide torsions can be nicely shown even if the secondary changes such as swelling, pain and scrotal redness would initially lead the examiner to the diagnosis of testicular torsion. With the help of doppler sonography, it is possible to measure flow-spectra and to support the diagnosis. Therefore, one can avoid unnecessary surgical exploration in children.  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    1. Medline: Medline
    McAndrew, H.F., Pemberton, R., Kikiros, C.S., Gollow, I.
    The incidence and invastigation of acute scrotal problems in children
    Pediatr Surg Int 2002 Sep;18(5-6):435-7

    2. Medline: Medline
    Munden, M.M., Trautwein, L.M.
    Scotal pathology in pediatrics with sonographic imaging
    Curr Probl Diag Radiol 2000 Nov-Dec;29(6):185-205 Review  

     
     Pediatric Radiology CasesKeywords:

    Hydatide torsion, acute scrotum, testicular pain, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    Dirk Schaper, V Hofmann. Hydatid torsion. PedRad [serial online] vol 3, no. 4.
    URL: www.PedRad.info/?search=20030417103834  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Pelvis-Testis
    or in the region: Pelvis
    or in the tissue/organ: Testis
    or with the etiology: physical
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     
    Hydatid torsion
    Dirk Schaper, V Hofmann. Hydatid torsion. PedRad [serial online] vol 3, no. 4.
    URL: www.PedRad.info/?search=20030417103834


     

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    Hydatid torsion
    Other cases by these authors:

    Search Dirk Schaper in Medline Dirk Schaper (43)   
    Search V. Hofmann in Medline V. Hofmann (17)   

    Hydatid torsion  
     
    Hydatid torsion
    Dirk Schaper, V Hofmann. Hydatid torsion. PedRad [serial online] vol 3, no. 4.
    URL: www.PedRad.info/?search=20030417103834


     

    Which diagnosis have other collegues guessed?


    • Testicular torsion
      Votes: 1 (4 %)


    • Hydtatide torsion
      Votes: 15 (65 %)


    • Epididymitis
      Votes: 3 (13 %)


    • Orchitis
      Votes: 3 (13 %)


    • Intravaginal inguinal herniation
      Votes: 1 (4 %)



        Total answers: 23

     
    Hydatid torsion
    Dirk Schaper, V Hofmann. Hydatid torsion. PedRad [serial online] vol 3, no. 4.
    URL: www.PedRad.info/?search=20030417103834


     

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    Hydatid torsion
    Dirk Schaper, V Hofmann. Hydatid torsion. PedRad [serial online] vol 3, no. 4.
    URL: www.PedRad.info/?search=20030417103834


     




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