Özet:

Purpose: Acute scrotum is an important clinical condition and causes can include epididymitis, epididimo-orchitis, sperm cord tortion and testicular extensions tortion. The early, accurate diagnosis and treatment of acute scrotum with imaging methods is very important. In this study, we aimed at reverse assessment of patients diagnosed with testicular tortion and epididimo-orchitis, which are the causes of intrascrotic pathologies, and to evaluate the effectiveness of colored doppler ultrasound. The study included 94 patients diagnosed with acute scrotum, aged between 10 months and 17 years, and with isolated scrotal pain. All medical details of patients, age, pain start, anemnia and colored doppler interventions to the patient resulted in Ultrasonography and these records were used for the purpose of study findings: the age range of patients was between 10 months-17 years and the average age was 11.9 ± 4.4 years. All patients were applied the colored doppler USG imaging method and a significant parameter was considered to be a reduction in testicular and epidemic bleeding. 48 patients (51.1%) had pain on the right side and 46 on the left side (48.9%). 40 of the cases (42.6 percent) had testicular tortion and 54 (57.4 percent) had an orchitis diagnosed. In cases of tortion with colored doppler ultrasound, there was a significant reduction in bleeding and an increase in ecogenity. Result: Acute scrotum is a clinical condition that requires emergency intervention in children. However, there are many pathologies that cause acute scrotum. In cases of acute scrotum, the possibility of timely and accurate distinctive diagnosis can prevent possible testicular loss and prevent unnecessary surgical intervention. For this, the colored doppler USG, which is easy to use today and is a non-invasive method, should be preferred. Acute scrotum is an important clinical condition; Acute scrotum is an important clinical condition. Various clinical conditions such as epididymitis, epididymo-orchitis, torsion of the sperm cord and torsion of testicular extensions cause acute scrotum. Early, accurate diagnosis and treatment of acute scrotum with imaging methods is very important. In this study; we aimed to retrospectively evaluate the patients diagnosed with testicular torsion and epididymoorchitis and determine the effectiveness of doppler ultrasound. Material-Method: The study included 94 patients with acute scrotum who were aged between 10-17 years and presented with isolated scrotal pain. All medical details, age, onset of pain, anemia and the results of color doppler ultrasonography were recorded. Results: The age range of the patients ranged from 10 months to 17 years with an average age of 11.9 ± 4.4 years. Color doppler US imaging was applied to all patients and the decrease in the blood supply of testicles and epididymis was accepted as the most important parameter. 48 patients (51.1%) had pain on the right side and 46 (48.9%) patients on the left side. 40 (42.6%) of the cases were diagnosed with testicular torsion and 54 (57.4%) were diagnosed with orchitis. Doppler ultrasonography showed a significant decrease in blood supply + echogenicity in torsion cases. The acute scrotum is a clinical condition requiring urgent intervention in children. However, there are many pathologies causing acute scrotum. In acute scrotum cases, early and accurate differential diagnosis can prevent possible testicular loss and prevent unnecessary surgical intervention. For this purpose, color Doppler ultrasonography, which is an easy-to-use and non-invasive method, should be preferred. Keywords: child; testis; acute scrotum