© RSNA,
2007
US of Acute Scrotal Trauma: Optimal Technique, Imaging Findings, and Management
Movie 1. Testicular hematoma (same case as in Fig 6). Video clip from the US examination shows sagittal view of the left testis (cf, Fig 6a). The ill-defined hypoechoic area within the posterior testis represents a hematoma. The fracture site is in the area of the hematoma.
Movie 2. Extratesticular hematoma after hernia repair (same case as in Fig 7). This patient underwent a right inguinal hernia repair and developed scrotal swelling. Video clip shows sagittal view of the right testis, scanning from the lateral side of the scrotum to the medial side, demonstrating the large extratesticular hematoma as a complex hypoechoic mass within the scrotal wall (cf, Fig 7a, 7b). As in Figure 7a, 7b, the right testis is seen to be intact.
Movie 3. Older left scrotal hematocele (same case as in Fig 10). Video clip shows transverse view of the left side of the scrotum (cf, Fig 10a) 6 weeks after trauma, demonstrating a complex multiseptated cystic mass (cf, Fig 10b). The mass represents an older hematoma associated with a hematocele. The left testis is not seen in this view. The right testis is seen on the left side of the image (cf, Fig 10a). At surgery, a large amount of fluid and old clot was found, along with an intact testis.
Movie 4. Ruptured testis with hematoma (same case as in Fig 15). This patient is status post fall onto a pole with direct testicular trauma. Video clip shows sagittal view through the left testis, demonstrating heterogeneous echotexture with internal cystic areas (hematomas) and discontinuity of the tunica at the superior pole of the testis (cf, Fig 15a). The extratesticular hematoma is seen anteriorly (cf, Fig 15a, 15b).
Movie 5. Testicular rupture (same case as in Fig 16). Video clip shows sagittal view of the left testis. Extrusion of testicular contents (cf, Fig 16a) is seen outside of the confines of the tunica albuginea at the inferior pole of the testis. At surgery, extrusion of more than 50% of testicular contents outside of the tunica albuginea was seen.
Movie 6. Testicular rupture (same case as in Fig 17). This patient developed testicular rupture after sustaining a knee to the right groin while playing sports. Symptoms included pain and swelling. Video clip shows sagittal view of the right testis. An abnormal contour with a somewhat bilobed shape is seen inferiorly (cf, Fig 17a). The heterogeneous tissue is believed to represent extruded testicular tissue. Hypoechoic and anechoic areas (cf, Fig 17b) within the inferior pole of the testis are seen. Irregularity of the tunica albuginea is identified anteriorly. At surgery, the right testicular rupture was repaired, and the nonviable-appearing parenchyma that had been extruded through the tunica albuginea was removed.
