Abstract
This research was designate with an intention to find the role of Doppler ultrasonography (DUS) and C-reactive protein (CRP) in patients with acute scrotum. A sum of 80 (mean age 23±2.1 years) consequential patients were recruited for a period of six months between July 2015 and January 2016 in this prospective study. Collected data confined age, medical history, and clinical symptoms. DUS was performed with a linear array transducer (10-15 MHz) connected to HI vision Avius ultrasound unit; Hitachi. CRP was measured using turbidimetric analysis through the Cobas Integra analyzer system (Test CRPL2, 0-293); Roche Diagnostics. Statistical analysis was accomplished using the standard Statistical Package for the Social Sciences version 20 for Windows; Microsoft. Fitted achievement values for DUS in the diagnosis of testicular torsion, epididymo-orchitis, and varicocele were respectively 100%, 91% and 88% for sensitivity, 92%, 71%, and 90% for specificity, and 94%, 83%, and 89% for accuracy. An increased in the serum CRP level (63.2±40.2 mg/L) was seen in an inflammatory cause of the acute scrotum. In contrast, there was no increase in CRP level (8±3.1 mg/L) in the non-inflammatory cases (P < 0.0001). Scrotal DUS is a highly precise preoperative diagnostic instrument, thereby confirm its course application in the incipient triage of patients with acute scrotum. Serum level of CRP can afford useful advice for differentiation between inflammatory and other reasons of the acute scrotum.
Highlights
Acute scrotum assigns to the abrupt attack of scrotal erythema, swelling, or ache
This research was designate with an intention to find the role of Doppler ultrasonography (DUS) and C-reactive protein (CRP) in patients with acute scrotum
A P-value < 0.0001 was considered significant. In this prospective cohort study a sum of 80 patients presented with acute scrotum were investigated using scrotal DUS
Summary
Acute scrotum assigns to the abrupt attack of scrotal erythema, swelling, or ache. Its a frequent onset in the casualty department (Aso et al, 2005; Günther & Rübben, 2012; Remer et al, 2012). A watchful historiology, a perfect physical exploration, and suitable diagnostic judgment can essentially pinch the discriminating diagnosis. The variety of etiologies narrated to this clinical appearance companion the diagnosis a perplexed one, and an unbiased and trustworthy imaging process is required (Yagil et al, 2010). The most ordinary discriminating diagnoses of the acute scrotum contain torsion of the spermatic cord and acute epididymitis or epididymo-orchitis. Less frequent diagnoses comprehend: Strangulated hernia, segmental testicular infarction, testicular tumor, and idiopathic scrotal edema (Esposito et al, 2012; Rebonato, D’Andrea, & Scialpi, 2013)
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