Sonographic Spectrum of Inguinoscrotal Mass Lesions
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 3
Abstract
Background and Objectives: Scanning of inguinoscrotal region is needed when clinical examination does not identify any significant abnormality. For patients presenting with inguinoscrotal masses, it is critical to determine whether the mass is intra- or extra-testicular. High-resolution ultrasonography (US) combined with color Doppler US has become the imaging modality of choice for evaluating inguinoscrotal diseases. US is helpful in differentiating extra from intratesticular lesions and in inguinal lesions. US provides excellent anatomic detail; when color Doppler and power Doppler (PD) imaging are added testicular perfusion can be assessed. Materials and Methods: Data for the study were collected from 60 patients attending/referred to Maharani Laxmi Bai Medical College and Hospital, Jhansi, Uttar Pradesh. The gray scale and color Doppler sonography routinely performed in all these patients. Subsequently, these cases were followed up and correlated with either surgical and laboratory findings, response to treatment or follow-up scans whichever applicable. Results: This study was undertaken to evaluate the multifold data obtained by high-resolution gray-scale sonography, color Doppler flow imaging, and PD in the evaluation of scrotal pathology. A total of 60 patients from all age groups with signs and symptoms related to inguinoscrotal diseases have been included in this study. All the 60 patients were properly followed up sonographically/medically/surgically/pathologically as per indication, to arrive at the final diagnosis. The final diagnosis was extratesticular fluid collection in 16 cases, acute inflammation in 10 cases, varicoceles in 9 cases, epididymal cysts in 6 cases, and chronic inflammation in 4 cases, testicular tumor in 2 cases, and torsion of testis in 1 case. The rest of the lesions included malposition testis, inguinoscrotal hernia, testicular microlithiasis, and scrotal wall abscess and filariasis. Conclusion: High-frequency US when supplemented with color Doppler sonography is sensitive in diagnosing acute scrotal pathology. It is also highly sensitive in differentiating solid from cystic inguinoscrotal masses, as well as intratesticular from extratesticular origin of scrotal masses. High-frequency US with Doppler is highly sensitive in demonstrating the varicoceles. We conclude that high-frequency US and color Doppler play an important role in the diagnosis and proper management planning of the inguinoscrotal disorders.
Authors and Affiliations
Rachna Chaurasia, Vijay Kumar Gupta, Shaily Panwar, Anurag Dhanik, Vineet Srivastava
Keywords
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