|The nuclear isotope testis scan you ordered appears at the right. The scrotum shows up as white dots. The black line in the middle of the scrotum is actually a lead rod placed to demonstrate where the median raphé lies. The entire left scrotum shows uptake of the isotope (it is uniformly white). The right side of the scrotum has a dark gray area. This represents a testis with impaired perfusion (it does not take up the isotope).
Now you have a boy with an ischemic testis from spermatic cord torsion in the nuclear medicine department. What will you do next?
|The picture on the right shows the results of a scrotal exploration in a young boy with a history of scrotal pain for several hours. He had a delayed diagnosis of spermatic cord torsion. The testis is completely necrotic. Untwisting the testis did not improve the perfusion. It was removed. Never let this happen to your patient.|
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©David A. Hatch, M.D., 1996