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Case Reports
. 2010 May;83(989):e105-7.
doi: 10.1259/bjr/95900989.

MRI in the diagnosis of incomplete testicular torsion

G T Gotto  1 , S D Chang, Mark K Nigro
Affiliations
Case Reports

MRI in the diagnosis of incomplete testicular torsion

G T Gotto et al. Br J Radiol. 2010 May.

Abstract

We present a case of subacute left testicular pain and enlargement. Scrotal Doppler ultrasound revealed an enlarged left testicle with symmetrical intra-testicular colour flow bilaterally. Contrast-enhanced MRI demonstrated incomplete testicular torsion which was verified at surgery. To our knowledge, this is the first report on the use of contrast-enhanced MRI in the diagnosis of incomplete testicular torsion.

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Figures

Figure 1
Figure 1
Doppler ultrasound demonstrating (a) an enlarged left testis (4.9 × 3.5 × 2.6 cm) with homogenous echotexture and no focal intra-testicular lesion. Colour flow was present and appeared symmetrical to that of (b) the normal sized (3.6 × 2.2 × 2.1 cm) right testis.
Figure 2
Figure 2
(a) Axial T2- and (b) T1-weighted MR images demonstrating homogenous high T2 and homogenous intermediate T1 signal intensity in both testes (arrows). (c) Axial T1-weighted MRI image following administration of IV gadolinium showing decreased enhancement of the left testis (arrow) compared to the right (arrowhead). (d) Coronal T1-weighted MRI image demonstrating torsion of left spermatic cord (arrow).
See this image and copyright information in PMC

References

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