Diagnostic imaging for pediatric scrotal disorders.
Published
Journal Article (Review)
Classification of pediatric scrotal disorders into three typical clinical manifestations--acute scrotal disorders, scrotal masses, and cryptorchidism--provides a practical basis for evaluation with the most commonly used modalities--sonography, scintigraphy, and magnetic resonance (MR) imaging. Acute scrotal disorders of children include acute epididymitis, torsion of an appendix testis or appendix epididymis, and torsion of the spermatic cord. Either scintigraphy or sonography may be used as the first imaging study, and both can aid in distinguishing among the disorders to different degrees. However, sonography is becoming the preferred modality, primarily because of the superior anatomic detail provided. Scrotal masses are also best depicted with sonography, although MR imaging can occasionally be a useful adjunctive modality. In cases of suspected cryptorchidism with equivocal clinical findings, both sonography and MR imaging may be useful, although sonography is usually the initial study. Knowledge of characteristic imaging appearances, as well as benefits and limitations of the available modalities, enables appropriate, expeditious radiologic evaluation of pediatric scrotal disorders.
Full Text
Duke Authors
Cited Authors
- Frush, DP; Sheldon, CA
Published Date
- July 1998
Published In
Volume / Issue
- 18 / 4
Start / End Page
- 969 - 985
PubMed ID
- 9672981
Pubmed Central ID
- 9672981
International Standard Serial Number (ISSN)
- 0271-5333
Digital Object Identifier (DOI)
- 10.1148/radiographics.18.4.9672981
Language
- eng
Conference Location
- United States