Hydatid torsion :: Peer Reviewed Pediatric Radiology Cases: :: The peer reviewed Pediatric Radiology teaching file server / case collection

ID: 20030417103834 ( 277 times read )	(PubMed Reader)
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	Hydatid torsion Dirk Schaper, V Hofmann. Hydatid torsion. PedRad [serial online] vol 3, no. 4. URL: www.PedRad.info/?search=20030417103834
	Images to this case:	[ Ultrasound ] [ OP-Situs ] [ All ]
	Author/s:	Dirk Schaper, V. Hofmann (Halle/S.)
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	Age:	12 Years
	Gender:	Male
	Region-Organ:	Pelvis-Testis
	Most likely etiology:	physical
	History:	12 year-old boy with stabbing pains in the left hemiscrotum. No vomiting, no swelling, no redness. Slight pain on pressure of the testicles. The testicles and epididymis were able to be palpated well. Maximum point of pain was at the testicular-epididymal border.
	Pathomorphology or Pathophysiology of this disease :	Torsion of an embryonic rest of the testes or epididymis.
	Radiological findings:	<- view Ultrasound 1 Ultrasound 1: Depiction of the testicals in relation to each side. Echogenic structure on the left testicular-epididymal border, no stimulation effusion. <- view Ultrasound 2 Ultrasound 2: Color doppler depiction of vascularisation of the testicular capsule. The echogenic structure shows no flow signal. <- view OP-Situs 1 OP-Situs 1: Large testicular pedicle-turned Morgani hydatide with beginning infarction.
	Diagnosis confirmation:	Surgery / Histo
	Which DD would be also possible with the radiological findings:	N/A
	Course / Prognosis / Frequency / Other :	Primary rejection of a testicular torsion through ultrasound. Surveillance of the course of illness. If symptoms persist, surgical removal.
	Comments of the author about the case:	Because of high-resolution sonography, it has become possible to more critically state the indication for surgical repair of an acute scrotum. Hydatide torsions can be nicely shown even if the secondary changes such as swelling, pain and scrotal redness would initially lead the examiner to the diagnosis of testicular torsion. With the help of doppler sonography, it is possible to measure flow-spectra and to support the diagnosis. Therefore, one can avoid unnecessary surgical exploration in children.
	First description / History:	N/A
	Literature:	1. Medline: McAndrew, H.F., Pemberton, R., Kikiros, C.S., Gollow, I. The incidence and invastigation of acute scrotal problems in children Pediatr Surg Int 2002 Sep;18(5-6):435-7 2. Medline: Munden, M.M., Trautwein, L.M. Scotal pathology in pediatrics with sonographic imaging Curr Probl Diag Radiol 2000 Nov-Dec;29(6):185-205 Review
	Keywords:	Hydatide torsion, acute scrotum, testicular pain, child, childhood, pediatric radiology
	Cite this article:	Dirk Schaper, V Hofmann. Hydatid torsion. PedRad [serial online] vol 3, no. 4. URL: www.PedRad.info/?search=20030417103834
	Read similar articles:	with corresponding keywords in the same field: Pelvis-Testis or in the region: Pelvis or in the tissue/organ: Testis or with the etiology: physical
	Images to this case:	[ Ultrasound ] [ OP-Situs ] [ All ]
	Hydatid torsion Dirk Schaper, V Hofmann. Hydatid torsion. PedRad [serial online] vol 3, no. 4. URL: www.PedRad.info/?search=20030417103834
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Hydatid torsion Other cases by these authors: Dirk Schaper (43) 1: Testicular microlithiasis 2: Intravaginal testicular torsion 3: Mesorchial testicular torsion 4: Idiopathic acute scrotal edema 5: Extended triplane I fracture 6: Vitelline duct cyst 7: Perforated appendicolith 8: Gallbladder hydrops with evolving cholecystitis 9: Hydatid torsion 10: Ectopic ureterocele 11: Thoracic lymphangioma with acute hemorrhage 12: Complicated van Neck's Disease 13: Pathologic fracture with juvenile bone cyst 14: Spondylodiscitis L4/5 15: Hypertrophic pyloric stenosis 16: Acute appendicitis 17: Congenital diaphragmatic hernia (CDH), left 18: Stress fracture of the proximal tibia 19: Ileocolic invagination, pneumatic devagination 20: Pancreatic rupture with pseudocyst formation 21: Testicular fracture 22: Inguinal hernia containing ovary 23: Cranial fracture - parietal 24: Omental cyst 25: Ureterocele (adult form) 26: Functional right ovarian cyst 27: Bladder Diverticulum with Double Kidneys and Duplicated Ureter 28: Neonatal "Chambered" Ovarian Cyst - Cyst within a Cyst 29: Duplicated Renal Collecting System with Hydronephrosis of the Upper Pole Moiety due to Ectopic Ureter 30: Bochdalek's Hernia with pleuroperitoneal covering 31: Reversible Ceftriaxone Associated Biliary Pseudolithiasis 32: Splenic Lymphangioma 33: Prenatal torqued and infarcted ovarian cyst 34: Epididymal Cyst with Testicular Retention, Hydatid and Hydrocele 35: Unilocular Congenital Hepatic Cyst 36: Congenital internal Duodenal Stenosis 37: Temporary Obstruction of the Appendix 38: Spermatocele 39: Asymptomatic Solitary Gallbladder Stone in Hereditary Spherocytosis 40: B-cell NHL of the Ileum (Type: Sporadic Burkitt Lymphoma) 41: Rapunzel syndrome grade I° due to trichobezoar 42: Bowel perforation and ileus after ingestion of magnets 43: CES - Congenital Esophageal Stenosis V. Hofmann (17) 1: Testicular microlithiasis 2: Intravaginal testicular torsion 3: Mesorchial testicular torsion 4: Idiopathic acute scrotal edema 5: Vitelline duct cyst 6: Perforated appendicolith 7: Gallbladder hydrops with evolving cholecystitis 8: Hydatid torsion 9: Ectopic ureterocele 10: Pathologic fracture with juvenile bone cyst 11: Spondylodiscitis L4/5 12: Hypertrophic pyloric stenosis 13: Acute appendicitis 14: Stress fracture of the proximal tibia 15: Ileocolic invagination, pneumatic devagination 16: Pancreatic rupture with pseudocyst formation 17: Omental cyst Hydatid torsion
	Hydatid torsion Dirk Schaper, V Hofmann. Hydatid torsion. PedRad [serial online] vol 3, no. 4. URL: www.PedRad.info/?search=20030417103834
Which diagnosis have other collegues guessed? Testicular torsion Votes: 1 (4 %) Hydtatide torsion Votes: 15 (65 %) Epididymitis Votes: 3 (13 %) Orchitis Votes: 3 (13 %) Intravaginal inguinal herniation Votes: 1 (4 %) Total answers: 23
	Hydatid torsion Dirk Schaper, V Hofmann. Hydatid torsion. PedRad [serial online] vol 3, no. 4. URL: www.PedRad.info/?search=20030417103834
Medical Dictionary Search in medical dictionary for Or type in a keyword ( Provided by The On-Line Medical Dictionary ) How interesting was this case for you? (10 = most interesting \|\| 1 = less interesting) This case was evaluated as very interesting (Grade 7.6).
	Hydatid torsion Dirk Schaper, V Hofmann. Hydatid torsion. PedRad [serial online] vol 3, no. 4. URL: www.PedRad.info/?search=20030417103834