[Essential precocious puberty with hematocolpos].
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Accurate diagnosis in patients with acute scrotal abnormalities remains a challenge to both radiologists and clinicians. Sonography using either small parts scanners or conventional equipment available in almost all departments will continue to play a larger role in aiding the clinical assessment of these patients. As a rapid, noninvasive imagining technique, sonography can reliably answer important clinical questions and guide prompt, early surgical or medical therapy.
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The Authors present their experience on 24 blunt scrotal traumas observed since January 1991. They underline the importance of an ecographic scanning that enables a precise evaluation of the traumatic event. Patients that present positive ultrasonic findings are promptly operated thus permitting bleeding and infection control. In this way gonadic function is restored and hospital care reduced. The diagnostic approach is presented, cases reported and results discussed. After a review of the literature on the topic they stress the role of Eco-Color-Doppler examination in scrotal blunt trauma for the intrinsic characteristics of precision, rapidity and non invasivity. This permits a nosologic evaluation of all types of blunt trauma and selects, for surgery, only those patients with a well definied diagnosis.
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We present a review of the literature and results of a survey involving 50 closed scrotal traumas. Based on this analysis, we propose an anatomoclinical classification of scrotal contusions based on what we consider to be the most appropriate therapeutic management.