Chronic testicular ischemia: MRI findings

Authors

  • Guisella Torres-Figueroa Hospital Italiano de Buenos Aires, Buenos Aires Argentina. https://orcid.org/0000-0001-8336-2258
  • Patricia Andrea Gutiérrez Hospital Italiano de Buenos Aires, Buenos Aires Argentina.
  • Jorge Alberto Ocantos Hospital Italiano de Buenos Aires, Buenos Aires Argentina.

DOI:

https://doi.org/10.48193/t53b2k41

Keywords:

isquemia, testis, magnetic resonance imaging

Abstract

18-year-old male patient with a history of myelomeningocele consulted for an MRI due to chronic scrotal pain with an ulceration in the right scrotum. MRI demonstrates there was an absence of contrast uptake and a whirlpool sign meaning that the right testicle was not viable and orchiectomy was performed. Although doppler ultrasound is the gold standard for diagnosing testicular torsion, in case of diagnostic doubt it is appropriate to perform an MRI in order to preserve testicular vitality and avoid unnecessary orchiectomies.

References

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Wang F, Mo Z. Clinical evaluation of testicular torsion presenting with acute abdominal pain in young males. Asian Journal of Urology. 2019;6(4): 368–372. https://doi.org/10.1016/j.ajur.2018.05.009

Cassar S, Bhatt S, Paltiel HJ, Dogra VS. Role of Spectral Doppler Sonography in the Evaluation of Partial Testicular Torsion. Journal of Ultrasound in Medicine. 2008;27(11): 1629–1638. https://doi.org/10.7863/jum.2008.27.11.1629.

Avery LL, Scheinfeld MH. Imaging of Penile and Scrotal Emergencies. RadioGraphics. 2013;33(3): 721–740. https://doi.org/10.1148/rg.333125158.

Published

2024-07-04

Issue

Section

Clinical cases