Ipsilateral Thigh Hyperperfusion During Acute Testicular Torsion: An Incidental Finding Related to Vascular Reflex
A 16-year-old boy was referred with a painful, red, and swollen left scrotum. The pain had begun 4 hours before admission. Tc-99m pertechnetate testicular scintigraphy showed a hypoactive area in the left side of the scrotum, suggesting left testicular torsion. In addition, increased perfusion was o...
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Veröffentlicht in: | Clinical nuclear medicine 1995-06, Vol.20 (6), p.554-556 |
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creator | DEREBEK, ERKAN AKGÜR, FEZA M KUT, ÖZLEM DURAK, HATICE |
description | A 16-year-old boy was referred with a painful, red, and swollen left scrotum. The pain had begun 4 hours before admission. Tc-99m pertechnetate testicular scintigraphy showed a hypoactive area in the left side of the scrotum, suggesting left testicular torsion. In addition, increased perfusion was observed in the ipsllateral thigh. Hyperperfusion of the left thigh disappeared after the operation, as evidenced by repeat scintigraphic examination. It is suggested that the hyperperfusion was related to testicular torsion, probably by reflex prodromic impulse through the genitofemoral nerve. It should be noted that such vascular reflexes may be observed in the early phase of testicular torsion. |
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The pain had begun 4 hours before admission. Tc-99m pertechnetate testicular scintigraphy showed a hypoactive area in the left side of the scrotum, suggesting left testicular torsion. In addition, increased perfusion was observed in the ipsllateral thigh. Hyperperfusion of the left thigh disappeared after the operation, as evidenced by repeat scintigraphic examination. It is suggested that the hyperperfusion was related to testicular torsion, probably by reflex prodromic impulse through the genitofemoral nerve. 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The pain had begun 4 hours before admission. Tc-99m pertechnetate testicular scintigraphy showed a hypoactive area in the left side of the scrotum, suggesting left testicular torsion. In addition, increased perfusion was observed in the ipsllateral thigh. Hyperperfusion of the left thigh disappeared after the operation, as evidenced by repeat scintigraphic examination. It is suggested that the hyperperfusion was related to testicular torsion, probably by reflex prodromic impulse through the genitofemoral nerve. It should be noted that such vascular reflexes may be observed in the early phase of testicular torsion.</description><subject>Acute Disease</subject><subject>Adolescent</subject><subject>Humans</subject><subject>Male</subject><subject>Radionuclide Imaging</subject><subject>Reflex - physiology</subject><subject>Sodium Pertechnetate Tc 99m</subject><subject>Spermatic Cord Torsion - diagnostic imaging</subject><subject>Spermatic Cord Torsion - physiopathology</subject><subject>Thigh - blood supply</subject><issn>0363-9762</issn><issn>1536-0229</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kV9PwyAUxYnR6PzzEUx48q0KpYXWt0WdLjExMdVXQuHWoayd0Gbu20vd9E0CuSHnnAv8QAhTcklJKa5IHIyINKFlmRMed0lcKdtDE5oznpA0LffRhDDOklLw9Agdh_BOCOWUZ4foUPCsEFkxQX6-CtapHrxyuFrYtwV-2KzAx9kMwXYtvh28bd_wVA894ApCb_XglMdV50f9Gk9bPG-1NdD2scfMtmb0P8PY1eC-w68qbCPP0Dj4OkUHjXIBznb1BL3M7qqbh-Tx6X5-M31MNIuPS7jIDRO1GUspNDCqwWiaF02d5Y2uOaNRpamAQqQ0M4Tw6OXKRCOjvGYn6GLbd-W7zyFeXC5t0OCcaqEbghQiy0tWptFYbI3adyF4aOTK26XyG0mJHHHLX9zyD7f8wR2j57szhnoJ5i-44xv1bKuvOxcZhw83rMHLBSjXL-R_v8i-AfGUi00</recordid><startdate>199506</startdate><enddate>199506</enddate><creator>DEREBEK, ERKAN</creator><creator>AKGÜR, FEZA M</creator><creator>KUT, ÖZLEM</creator><creator>DURAK, HATICE</creator><general>Lippincott-Raven Publishers</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199506</creationdate><title>Ipsilateral Thigh Hyperperfusion During Acute Testicular Torsion: An Incidental Finding Related to Vascular Reflex</title><author>DEREBEK, ERKAN ; AKGÜR, FEZA M ; KUT, ÖZLEM ; DURAK, HATICE</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3003-675d37bd75d397ce31cedc158fb45fcb6317bd127e87214d006d756ad31c316b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Acute Disease</topic><topic>Adolescent</topic><topic>Humans</topic><topic>Male</topic><topic>Radionuclide Imaging</topic><topic>Reflex - physiology</topic><topic>Sodium Pertechnetate Tc 99m</topic><topic>Spermatic Cord Torsion - diagnostic imaging</topic><topic>Spermatic Cord Torsion - physiopathology</topic><topic>Thigh - blood supply</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DEREBEK, ERKAN</creatorcontrib><creatorcontrib>AKGÜR, FEZA M</creatorcontrib><creatorcontrib>KUT, ÖZLEM</creatorcontrib><creatorcontrib>DURAK, HATICE</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical nuclear medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DEREBEK, ERKAN</au><au>AKGÜR, FEZA M</au><au>KUT, ÖZLEM</au><au>DURAK, HATICE</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ipsilateral Thigh Hyperperfusion During Acute Testicular Torsion: An Incidental Finding Related to Vascular Reflex</atitle><jtitle>Clinical nuclear medicine</jtitle><addtitle>Clin Nucl Med</addtitle><date>1995-06</date><risdate>1995</risdate><volume>20</volume><issue>6</issue><spage>554</spage><epage>556</epage><pages>554-556</pages><issn>0363-9762</issn><eissn>1536-0229</eissn><abstract>A 16-year-old boy was referred with a painful, red, and swollen left scrotum. The pain had begun 4 hours before admission. Tc-99m pertechnetate testicular scintigraphy showed a hypoactive area in the left side of the scrotum, suggesting left testicular torsion. In addition, increased perfusion was observed in the ipsllateral thigh. Hyperperfusion of the left thigh disappeared after the operation, as evidenced by repeat scintigraphic examination. It is suggested that the hyperperfusion was related to testicular torsion, probably by reflex prodromic impulse through the genitofemoral nerve. It should be noted that such vascular reflexes may be observed in the early phase of testicular torsion.</abstract><cop>United States</cop><pub>Lippincott-Raven Publishers</pub><pmid>7648748</pmid><doi>10.1097/00003072-199506000-00023</doi><tpages>3</tpages></addata></record> |
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subjects | Acute Disease Adolescent Humans Male Radionuclide Imaging Reflex - physiology Sodium Pertechnetate Tc 99m Spermatic Cord Torsion - diagnostic imaging Spermatic Cord Torsion - physiopathology Thigh - blood supply |
title | Ipsilateral Thigh Hyperperfusion During Acute Testicular Torsion: An Incidental Finding Related to Vascular Reflex |
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