PMC4108190_01
Ultrasound image of the left hemi-scrotum showing an oval iso-hypoechoic formation with a maximum diameter of 20 mm.
poljradiol-79-219-g001.jpg
PMC4108190_01_poljradiol-79-219-g001.jpg
f1-poljradiol-79-219
As concerns the left hemiscrotum, a dishomogenous formation was distinguished with predominantly peripheral vascular spots of about 20 mm maximum in diameter (Figure 1).
Ultrasound image of the left part of the interior inguinal canal, showing an ipsilateral testicle displaced cranially (top left). The left hemi-scrotum appeared to be occupied by the hematoma (bottom right) showing peripheral vascular spots.
poljradiol-79-219-g002.jpg
PMC4108190_01_poljradiol-79-219-g002.jpg
f2-poljradiol-79-219
The finding did not suggest testicular torsion of the left gonad, but of the left didymus located at a high level with an associated haematoma in the scrotal sac (Figure 2).
Surgical exploration of the left hemi-scrotum showing evidence of a large hematoma involving the peri-testicular tissues with didymus, and of the epididymis, which were normal in morphology, volume, consistency and vascularization.
poljradiol-79-219-g003.jpg
PMC4108190_01_poljradiol-79-219-g003.jpg
f3-poljradiol-79-219
Bilaterally to the operated testicle at the level of the inguinal canal, a small testicle of discreet colour was found, subsequently fixed to the scrotum (Figure 3).