Pediatric Radiology

, Volume 15, Issue 2, pp 110–115 | Cite as

Testicular torsion in children: scintigraphic assessment

  • J. B. Mendel
  • G. A. Taylor
  • S. Treves
  • T. H. Cheng
  • A. Retik
  • S. Bauer


Seventy-five patients with suspected testicular torsion who had scintiscans and adequate clinical follow-up were analyzed retrospectively. The scintiscans diagnosed 12/13 cases of surgically proven missed torsion and 3/3 cases of surgically proven acute complete torsion. The scintiscans successfully distinguished all 35 cases of epididymo-orchitis, 14 cases of torsion of the appendix testes and 8 other miscellaneous conditions from testicular torsion. The incidence of testicular torsion in our patients undergoing scrotal scintigraphy was approximately 24%.


Public Health Testicular Torsion Miscellaneous Condition Scintigraphic Assessment Appendix Testis 
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  1. 1.
    Nadel NS, Gitter MH, Hahn LC et al. (1973) Preoperative diagnosis of testicular torsion. Urology 1: 478CrossRefPubMedGoogle Scholar
  2. 2.
    Holder LE, Martire JR, Holmes ER (1977) Testicular radionuclide angiography and static imaging: anatomy, scintigraphic interpretation and clinical indications. Radiology 125: 739PubMedGoogle Scholar
  3. 3.
    Mishkin FS (1977) Differential diagnostic features of the radionuclide scrotal image. Am J Roentgenol 128: 127Google Scholar
  4. 4.
    Boedecker RA, Sty JR, Jona JF (1979) Testicular scanning as a diagnostic aid in evaluating scrotal pain. J Pediatr 94: 760PubMedGoogle Scholar
  5. 5.
    Kogan SJ, Lutfker LG, Perez LA, et al. (1979) The value of the negative radionuclide scrotal scan in the management of the acute inflamed scrotum in children. J Urol 122: 223PubMedGoogle Scholar
  6. 6.
    Orovan WL, McLorie GA (1979) Testicular scanning: its efficacy in diagnosing intrascrotal lesions. Can J Surg 13: 477Google Scholar
  7. 7.
    Abu-Sleiman R, Ho JE, Gregory JG (1979) Scrotal scanning: present value and limits of interpretation. Urology 13: 326CrossRefPubMedGoogle Scholar
  8. 8.
    Riley TW, Mosbaugh PG, Coles JL, Newman DM, Van Hove ED, Heck LL (1976) Use of radioisotope scan in evaluation of intrascrotal lesions. J Urol 116: 472PubMedGoogle Scholar
  9. 9.
    Scorer CG, Farrington GM (1979) Congenital anomalies of the testes. In: Harrison JH, Gittes RF, Perlmutter AD, Walsh PC (eds) Cambell's Urology. 4th edn. W.B. Saunders, Philadelphia, p 1562Google Scholar
  10. 10.
    DelVilar RG, Ireland GW, Cass A (1972) Early exploration in acute testicular conditions. J Urol 108: 887Google Scholar
  11. 11.
    Williamson RC (1976) Torsion of the testis and allied conditions. Br J Surg 63: 465PubMedGoogle Scholar
  12. 12.
    Gilday DC, Hitch D, Shandling B, Ash JM (1976) Testicular imaging for testicular torsion with pediatric surgery. J Nucl Med 17: 553Google Scholar
  13. 13.
    Datta NS, Mishkin FS (1975) Radionuclide imaging in intracostal lesions. JAMA 231: 1060CrossRefPubMedGoogle Scholar
  14. 14.
    Skoglund RW, McRoberts JW, Ragde H (1970) Torsion of testicular apendages: Presentation of 43 new cases and a collective review. J Urol 104: 598PubMedGoogle Scholar
  15. 15.
    Donohue RE, Ufley WF (1978) Torsion of spermatic cord. Urology 11: 33CrossRefPubMedGoogle Scholar
  16. 16.
    Nagler H, White RD (1982) The effect of testicular torsion on contralateral testes. American Urological Association Meeting, May 1982 (Abstract)Google Scholar

Copyright information

© Springer-Verlag 1985

Authors and Affiliations

  • J. B. Mendel
    • 1
  • G. A. Taylor
    • 1
  • S. Treves
    • 1
  • T. H. Cheng
    • 1
  • A. Retik
    • 1
  • S. Bauer
    • 1
  1. 1.Department of Radiology and Division of UrologyChildren's Hospital and Harvard Medical SchoolBostonUSA

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