JUM
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Park, S. J.
Right arrow Articles by Kim, H. C.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Park, S. J.
Right arrow Articles by Kim, H. C.
© 2007 by the American Institute of Ultrasound in Medicine
J Ultrasound Med 26:293-299 • 0278-4297

Manual Reduction of Torsion of an Intrascrotal Appendage Under Ultrasonographic Monitoring

Seong Jin Park, MD, PhD, Hae Kyung Lee, MD, Boem Ha Yi, MD, Jang Gyu Cha, MD, Joon Hee Joh, MD, Hyun Sook Hong, MD and Hyun Cheol Kim, MD

Department of Radiology, Soonchunhyang University Bucheon Hospital, Bucheon-si, Gyeonggi-do, Korea.

Address correspondence to Seong Jin Park, MD, PhD, Department of Radiology, Soonchunhyang University Bucheon Hospital, 1174 Jung-dong, Wonmi-gu, Bucheon-si, Gyeonggi-do 420-021, Korea. E-mail: indawn{at}schbc.ac.kr

Objective. The purpose of this study was to evaluate the feasibility and safety of manual reduction of torsion of an intrascrotal appendage under ultrasonographic monitoring. Methods. Fifteen boys with torsion of an intrascrotal appendage, confirmed by scrotal ultrasonography and clinical status, were included in the study. The boys were 6 to 13 years old (mean age, 9 years). They all had painful, unilateral swelling of the scrotum and a palpable, tender nodule on physical examination. Scrotal ultrasonography indicated a single, variably echoic mass corresponding to the intrascrotal appendage. The mass was avascular according to Doppler ultrasonography. Thirteen boys underwent manual reduction under ultrasonographic monitoring. We tried to pull and release the swollen appendage in 8 patients and gently squeezed the appendage in 5. The procedure was considered successful when ultrasonography showed reperfusion in the appendage and the patients stated complete relief of scrotal pain. In 14 boys, follow-up scrotal ultrasonography was performed after the manual reduction. Results. Successful reduction was obtained in 12 (80.0%) of 15 boys. Only 1 boy was regarded as having reduction failure; this patient had intractable pain after the trial reduction, and ultrasonography showed transient vascular flow that promptly disappeared in the appendage. On follow-up ultrasonography, the maximal diameter ± SD of the intrascrotal appendages significantly decreased from 6.1 ± 1.2 to 4.0 ± 1.3 (P = .005) in 11 patients with successful reduction. Conclusions. Manual reduction under ultrasonographic monitoring seems to be a feasible and effective method for the treatment of torsion of an intrascrotal appendage to immediately relieve pain.

Key Words: scrotum • torsion • ultrasonography

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2007 by the American Institute of Ultrasound in Medicine.