Diagnostic Ultrasound - Abdomen and Pelvis

Testicular Torsion/Infarction
(Left) Transverse color
Doppler ultrasound of the left
testis in a male with an acute
painful scrotum for 2 hours
shows complete absence of
internal blood flow. Note the
normal grayscale
homogeneous appearance of
the parenchyma that is
suggestive of a potentially
viable testis. (Right)
Transverse color Doppler
ultrasound of both testes
shows an enlarged
heterogeneous avascular right
testis with an abnormal
line. Patient was symptomatic
for 24 hours; testis could not
be salvaged after detorsion.
Diagnoses: Scrotum
(Left) Sagittal color Doppler
ultrasound of the left testis
shows an enlarged
heterogeneous avascular
testis with multiple
hyperechoic areas st.
Pathology confirmed it to be a
hemorrhagic infarction of the
testis with torsion > 360⁰
degrees. (Right) Sagittal
grayscale ultrasound of the
right testis shows an enlarged
heterogeneous right testis
with a striated appearance
suggestive of partial infarcts.
The patient had a history of
partial testicular torsion.
(Left) Sagittal color Doppler
ultrasound of both testes in a
young male with right
testicular pain shows an
asymmetric blood flow with
reduced flow to the right
testis , as seen on color flow
and spectral waveform st.
This was surgically confirmed
to be partial right testicular
torsion of 180⁰. (Right)
Transverse color Doppler
ultrasound of the right testis
after detorsion shows reactive
hyperemia.
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