ACR Appropriateness Criteria® Acute Onset of Scrotal Pain-Without Trauma, Without Antecedent Mass

Publication date: May 2019Source: Journal of the American College of Radiology, Volume 16, Issue 5, SupplementAuthor(s): Expert Panel on Urological Imaging:, Carolyn L. Wang, Barun Aryal, Aytekin Oto, Brian C. Allen, Oguz Akin, Lauren F. Alexander, Dianna M.E. Bardo, Jaron Chong, Adam T. Froemming, Pat F. Fulgham, Matthew T. Heller, Jodi K. Maranchie, Rekha N. Mody, Bhavik N. Patel, Nicola Schieda, Ismail B. Turkbey, Aradhana M. Venkatesan, Don C. Yoo, Mark E. LockhartAbstractAn acute scrotum is defined as testicular swelling with acute pain and can reflect multiple etiologies including epididymitis or epididymo-orchitis, torsion of the spermatic cord, or torsion of the testicular appendages. Quick and accurate diagnosis of acute scrotum and its etiology with imaging is necessary because a delayed diagnosis of torsion for as little as 6 hours can cause irreparable testicular damage. Ultrasound duplex Doppler of the scrotum is usually appropriate as the initial imaging for the acute onset of scrotal pain without trauma or antecedent mass in an adult or child.The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommenda...
Source: Journal of the American College of Radiology - Category: Radiology Source Type: research