Despite many years of experience in the use of ultrasound in the diagnosis of acute testicular ischemia (AISE) in children, the full potential of this technique remains insufficiently studied. As part of a prospective controlled study involving 142 patients with emergency genital disorders, ultrasound was performed for Acute idiopathic scrotal edema. Ultrasound showed differences in the image of the scrotum organs in boys with AISE, depending on the duration of the disease. When using color Dopplerography, changes in perfusion were detected, such as the absence or decrease in blood flow. The localization of the inflammatory process was determined solely by the results of ultrasound of the scrotum organs. The results obtained suggest that with a decrease in blood flow in the testicles with a more pronounced degree or with a longer period of torsion, pronounced changes on the part of the scrotum were observed.
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