Studies have shown that SWE values of testicular parenchyma increase during testicular torsion; however, there are limited studies showing whether these changes can be distinguished from other pathologies such as acute inflammation [36]. OR Discussion of Procedures by Variant Variant 1: Adult or child. Acute onset of scrotal pain. Without trauma, without antecedent mass. Initial imaging. This discussion will be limited to patients with acute pain, without history of trauma, and no history of antecedent or known scrotal or testicular mass because these scenarios are discussed elsewhere [37,38]. CT Pelvis With IV Contrast CT of the pelvis with intravenous (IV) contrast is not routinely used as an initial imaging modality for the evaluation of acute scrotal pain without trauma and without antecedent mass. There is no relevant literature regarding the use of CT of the pelvis in these patients. However, in the setting of Fourniers gangrene, CT can lead to early diagnosis with accurate assessment of disease extent [3]. CT Pelvis Without and With IV Contrast CT of the pelvis without and with IV contrast is not routinely used as an initial imaging modality for the evaluation of acute scrotal pain without trauma and without antecedent mass. There is no relevant literature regarding the use of CT of the pelvis in these patients. CT Pelvis Without IV Contrast CT of the pelvis without IV contrast is not routinely used as an initial imaging modality for the evaluation of acute scrotal pain without trauma and without antecedent mass. There is no relevant literature regarding the use of CT of the pelvis in these patients. MRI Pelvis (Scrotum) Without and With IV Contrast MRI of the pelvis without and with IV contrast is not routinely used as an initial imaging modality for the evaluation of acute scrotal pain without trauma and without antecedent mass.
Acute Onset of Scrotal Pain Without Trauma Without Antecedent Mass. Studies have shown that SWE values of testicular parenchyma increase during testicular torsion; however, there are limited studies showing whether these changes can be distinguished from other pathologies such as acute inflammation [36]. OR Discussion of Procedures by Variant Variant 1: Adult or child. Acute onset of scrotal pain. Without trauma, without antecedent mass. Initial imaging. This discussion will be limited to patients with acute pain, without history of trauma, and no history of antecedent or known scrotal or testicular mass because these scenarios are discussed elsewhere [37,38]. CT Pelvis With IV Contrast CT of the pelvis with intravenous (IV) contrast is not routinely used as an initial imaging modality for the evaluation of acute scrotal pain without trauma and without antecedent mass. There is no relevant literature regarding the use of CT of the pelvis in these patients. However, in the setting of Fourniers gangrene, CT can lead to early diagnosis with accurate assessment of disease extent [3]. CT Pelvis Without and With IV Contrast CT of the pelvis without and with IV contrast is not routinely used as an initial imaging modality for the evaluation of acute scrotal pain without trauma and without antecedent mass. There is no relevant literature regarding the use of CT of the pelvis in these patients. CT Pelvis Without IV Contrast CT of the pelvis without IV contrast is not routinely used as an initial imaging modality for the evaluation of acute scrotal pain without trauma and without antecedent mass. There is no relevant literature regarding the use of CT of the pelvis in these patients. MRI Pelvis (Scrotum) Without and With IV Contrast MRI of the pelvis without and with IV contrast is not routinely used as an initial imaging modality for the evaluation of acute scrotal pain without trauma and without antecedent mass.