AI Article Synopsis
- The study aimed to differentiate between spermatic cord torsion and acute orchitis using color Doppler flow imaging (CDFI) in patients with acute testicular pain.
- Out of 13 patients, 8 were diagnosed with spermatic cord torsion, showing reduced or no blood flow on CDFI, while 5 were diagnosed with acute orchitis, indicating abundant blood flow.
- CDFI is an essential diagnostic tool that should be the first choice for assessing patients with acute testicular pain to ensure accurate diagnosis and treatment.
Article Abstract
Objective: To distinguish spermatic cord torsion from acute orchitis by color Doppler flow imaging (CDFI).
Methods: Thirteen patients with acute orchialgia were examined by CDFI. The clinical data of diagnosis and treatment were reviewed and analyzed.
Results: The findings of CDFI showed lower or even no blood flow in the testes in 8 cases, which were diagnosed as spermatic cord torsion. Among them, 1 received manual detorsion and 7 were proved by operations. The other 5 showed abundant blood flow signal in the testes and were diagnosed as acute orchitis or epididymo-orchitis. After the use of antibiotics, their symptoms were relieved and the blood flow of the testes reduced upon reexamination.
Conclusions: CDFI plays an important role in the diagnosis and differential diagnosis of spermatic cord torsion, and could be regarded as a detecting method of first choice for patients of acute orchialgia.
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