Sintim-damoa Akosua,  Sandhu Preet

Final Pr. ID: Poster #: EDU-118

There is a wide spectrum of scrotal pathology in the pediatric population ranging from the benign to those requiring emergent intervention. Ultrasound is widely available, relatively low cost, and provides superior imaging of the scrotum. In addition, ultrasound has the added benefit of no ionizing radiation. Scrotal pathology may be vascular, traumatic, embryologic, or neoplastic in origin and may arise from abnormalities inherent to the scrotum or gastrointestinal or hematological in nature. Testicular torsion is the underlying cause of acute scrotum in up to 26% of pediatric patients. It is important to differentiate acute torsion from late torsion, intermittent torsion, and torsion of the appendix testis on ultrasound. Trauma involving the scrotum can result in scrotal hematoma or testicular fracture. Infectious etiologies of scrotal pathology may include epididymitis and orchitis with or without an associated pyocele. A variety of masses may be seen in the testicle including epidermoid cyst, congenital adrenal rest, germ cell tumor, and lymphoma. Ultrasound along with pertinent clinical history can be helpful in narrowing the differential diagnosis.
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Authors:  Sintim-damoa Akosua , Sandhu Preet

Keywords:  scrotum, torsion

Kelleher Sean,  Lampl Brooke,  Park Ellen

Final Pr. ID: Poster #: EDU-049

Scrotal ultrasound is commonly performed in a pediatric practice with the nonspecific clinical presentation of pain, palpable abnormality, or enlargement of the scrotum. A wide variety of pathologies including congenital, neoplastic, infectious, and traumatic etiologies can occur within the scrotum due to its complex anatomy. A thorough understanding of the anatomy and spectrum of disease is necessary for diagnosis and potential treatment of these abnormalities. This educational exhibit will illustrate typical and atypical scrotal abnormalities, including testicular torsion, torsion of the testicular and epidydimal appendix, and infectious processes associated with the clinical finding of pain. Additionally, we will provide a collection of testicular and extra-testicular masses, some demonstrating an unusual presentation. Read More

Authors:  Kelleher Sean , Lampl Brooke , Park Ellen

Keywords:  Ultrasound, scrotum, Mass