PMC3177419_01
Gray-scale ultrasound of left inguinal region demonstrates the superior and lateral dislocation of the left testis (T) secondary to scrotal trauma.
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F1
Ultrasound was performed for further evaluation of the scrotum and inguinal region [Figure 1].
Gray-scale ultrasound of the right testis. Multiple ill-defined hyperechoic lesions within the parenchyma, representing likely contusions. They resolved on follow-up examination.
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F2
Right testis was in normal position within the scrotal sac, but showed a heterogeneous echotexture that was thought to be due to contusions arising from the trauma [Figure 2].
Spectral Doppler evaluation of the left testis demonstrates a low amplitude waveform with absent diastolic flow suggestive of a partial testicular torsion.
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F3
Spectral Doppler examination of the left testis demonstrated decreased amplitude of systolic upstroke and absence of diastolic flow, suggesting partial testicular torsion [Figure 3].
Contrast enhanced CT scan of pelvis. Axial section at the level of inguinal canal, demonstrates the dislocated left testis (arrow) and small amount of subcutaneous emphysema (arrow head).
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F4
The right testis was present within the scrotal sac [Figures 4 and 5].
Coronal reformatted CT image confirms the dislocated left testis (arrow) and the normal position of the right testis within the scrotal sac (arrow head).
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F5
The right testis was present within the scrotal sac [Figures 4 and 5].
Surface rendered 3-dimensional CT reformatted image further confirms the presence of dislocated left testis in the inguinal region (arrow).
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F6
Reconstructed volume rendered image confirms that the superficially palpable lump in the left inguinal region corresponds to the left dislocated testis [Figure 6].