The Acute Scrotum in Adults and Children: Evidence-Based Emergency Imaging

  • Jennifer L. Cullmann
  • Stefan Puig
Part of the Evidence-Based Imaging book series (Evidence-Based Imag.)


Of the different etiologies of acute scrotal pain, testicular torsion is the only real emergency. It occurs when the testicle is abnormally mobile and twists on its vascular pedicle potentially resulting in testicular infarction. If testicular torsion is suspected, patients should be examined using color Doppler ultrasound with grayscale imaging, which is highly sensitive and specific. Successful manual detorsion of testicular torsion leads to reperfusion, which is immediately visible with Doppler ultrasound. But in cases of successful manual detorsion, surgical exploration with orchiopexy is still necessary.


Acute scrotal pain Testicular torsion Color Doppler ultrasound Manual detorsion Orchiopexy Evidence-based imaging Emergency imaging 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Diagnostic, Interventional, and Pediatric Radiology, InselspitalUniversity Hospital Bern, University of BernBernSwitzerland
  2. 2.Department of Radiology and NeuroradiologyKlinik im Park, Hirslanden AGZurichSwitzerland

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