Diagnostic Ultrasound - Abdomen and Pelvis

Scrotal Trauma
(Left) Transverse grayscale
ultrasound of the epididymis in
a patient with blunt trauma to
the scrotum demonstrates an
enlarged and heterogeneous
epididymis ſt. (Right)
Corresponding color Doppler
ultrasound demonstrates
marked hyperemia of the
epididymis, suggestive of
traumatic epididymitis.
Diagnoses: Scrotum
(Left) Sagittal grayscale
panoramic ultrasound of the
right scrotum after inguinal
herniorrhaphy demonstrates a
large, complex fluid collection
ſt extending from the
superior pole of the testis
into the groin. Surgery
confirmed a spermatic cord
hematoma. (Right)
Corresponding axial NECT at
the level of the groin shows a
large, high-attenuation mass
ſt involving the right
spermatic cord, consistent
with a spermatic cord
hematoma
(Left) Color Doppler
ultrasound of the right
scrotum after blunt trauma
shows a complex avascular
collection ſt in the scrotal
wall, suggestive of a scrotal
wall hematoma. Testis was
normal. (Right) Transverse
grayscale ultrasound of the
testis in a patient with gun
shot injury to the thigh shows
multiple echogenic foci ſt in
the scrotum suggestive of gas.
Surgery confirmed presence of
an associated testicular
rupture.
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