Role of contrast enhanced ultrasound in acute scrotal diseases

Massimo Valentino, Michele Bertolotto, Lorenzo Derchi, Alessandro Bertaccini, Pietro Pavlica, Giuseppe Martorana, Libero Barozzi

Research output: Contribution to journalArticlepeer-review


Objective: To evaluate the efficacy of contrast-enhanced ultrasound (CEUS) in patients with acute scrotal pain not defined at ultrasound (US) with colour Doppler . Methods: CEUS was carried out in 50 patients with acute scrotal pain or scrotal trauma showing testicular lesion of undefined nature at US. The accuracy of US and CEUS findings versus definitive diagnosis (surgery or follow-up) was calculated. Results: Twenty-three patients had a final diagnosis of testicular tumour, three abscess, eight focal infarction, seven trauma, three testicular torsion, one haematoma. Five patients were negative. Thirty-five patients were operated (23 testicular tumours, six trauma, three testicular torsion, one abscess, one focal infarction, and one haematoma) and 15 underwent medical treatment or were discharged. US provided a definitive diagnosis in 34/50 as compared to the 48/50 patients diagnosed at CEUS. Sensitivity and specificity were 76% and 45% for US and 96% and 100% for CEUS respectively. Conclusions: CEUS was more accurate in the final diagnosis compared to US, potentially reducing the need for further imaging. In particular CEUS can be proposed in emergency in cases where US diagnosis remains inconclusive, namely in infarction, and trauma, when testicular torsion cannot be ruled out, and in identifying testicular mass.

Original languageEnglish
Pages (from-to)1831-1840
Number of pages10
JournalEuropean Radiology
Issue number9
Publication statusPublished - Sep 2011


  • Acute scrotal pain
  • Contrast-enhanced ultrasound
  • Testis
  • Trauma
  • Ultrasonography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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