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Journal of Ultrasound in Medicine, Vol 11, Issue 3 81-83, Copyright © 1992 by American Institute of Ultrasound in Medicine

JOURNAL ARTICLE

Torsion of the testicular appendage. Sonographic diagnosis

H. L. Cohen, M. A. Shapiro, J. O. Haller and K. Glassberg
Department of Radiology, North Shore University Hospital-Cornell University Medical College, Manhasset, New York.

Torsion of the testicular appendages may simulate the clinical and physical examination findings of testicular torsion. Real-time imaging and duplex Doppler scanning aided the diagnosis of this entity in three children. The testes appear normal on sonograms and have normal vascular flow. A circular mass of increased echogenicity with a variably sized central hypoechoic region is seen adjacent to the testicle. We could not relate variations in echogenicity to time delay between clinical pain and sonographic examination.


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Copyright © 1992 by the American Institute of Ultrasound in Medicine.