• Title/Summary/Keyword: scrotum

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Inguinal and Scrotal Diseases in Children and Adolescents (소아와 청소년의 서혜부와 음낭 질환)

  • Jaeyoung Lee;Youngtong Kim;Sungshick Jou;Chanho Park
    • Journal of the Korean Society of Radiology
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    • v.83 no.4
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    • pp.792-807
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    • 2022
  • In children and adolescents, inguinal and scrotal diseases are relatively common, and imaging is very useful for the diagnosis and differential diagnosis of these diseases. Therefore, it is important to understand the imaging findings of these diseases. In this article, we classify these diseases into small testes, cryptorchidism, patent processus vaginalis, acute scrotum pain, trauma, testicular tumors, and others and describe their characteristic findings.

Orchidopexy: a 10-year Clinical Experience (고환고정술 : 10년간 임상경험)

  • Yoon, Jae-Sik;Kim, Kwang-Sae
    • Advances in pediatric surgery
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    • v.5 no.1
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    • pp.26-32
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    • 1999
  • We analyzed our experience with orchidopexy for undescended testicle performed during recent 10 years in order to evaluate our results and to determine the most effective treatment of undecended testes. Between 1988 and 1997, we treated 420 undescended tested (314 palpable and 106 nonpalpable) in 356 boys. Medical records were reviewed with respect to age at presentation, the surgical approach, testicular location, testicular volume and the final outcome. The average patient age at presentation was 4.1 years with 40.2 % presenting before age 2 years. Of 106 nonpalpable testes, 23 testes were intra-abdominal, 32 were preperitoneal and 51 were absent. During the first 5 years, we performed orchidopexy through 31 inguinal and 13 midline transabdominal incisions for 44 paitents with nonpalpable testes. In the next 5 years, all 47 patients with nonpalpable were treated through inguinal incisions. For the nonpalpable testes, the inguinal approach with or without intraperitoneal extension was successful in defining the location of testes and blind-ending vessels in all patients. Laparoscopy did not help to avoid surgical exploration in all our patients with nonpalpable tests. Of 339 inguinal and midline tranabdominal orchidopexies without spermatic vessels ligations, 324 testes were placed in the scrotum, 4 in the upper scrotum and 3 in the inguinal area. Eight testes underwent atrophy. Of 13 Fowler-Stephens orchidopexies, 7 were placed in the scrotum and 6 became atrophied. Testicular growths were noticed in most patients who underwent orchidopexies and the colume of pexed testes became as large as the contralateral normal testes by the mean duration of 43.3 months postoperatively. In conclusion, orchidopexies were successful in most cases of cryptochidism in terms of testicular position and growth. However, there were more testicular atrophies in cases where spermatic vessels were ligated. In cases of nonpalpable undescended testes, the inguinal approach with or without intraperitoneal extesion would be recommended.

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Determination of the Genital Structures using Ultrasound in Canine Prenatal Fetuses

  • Park, Chul-Ho;Oh, Ki-Seok;Son, Chang-Ho
    • Journal of Embryo Transfer
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    • v.30 no.4
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    • pp.335-340
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    • 2015
  • The objective of this study was to evaluate the initial detection time and development of the fetal genital structures using ultrasound in twelve pregnant small bitches. The initial detection time of the fetal genital structures was as follows: genital tubercle at days 32.6; os penis at days 45.2; labia at days 45.7; scrotum at days 47.5. Ultrasonograms of fetal genital structure according to gestational stage were as follows: Undifferentiated stage (before day 35), the genital tubercle was observed to have a small elevation and just a hyper-echogenic structure in the midline between the umbilical cord and the tail in male and female fetus. Migration stage (between day 35~45), the genital tubercle was observed as a hyper-echogenic, bilobular, oval shaped and the genital tubercle began to migrate from the initial position toward the umbilical cord in males, and toward the tail in females. Differentiated stage (after day 46), the penis and os penis were observed to stand out in the abdominal wall and the scrotum was observed toward the perineal region in male fetuses. The labia was detected at the base of the tail in female fetuses. These results indicate that ultrasound of fetal genital structures could be useful for fetal gender determination and a completely prepartum evaluation of the canine fetus.

Scrotal Sparganosis Mimicking Scrotal Teratoma in an Infant: A Case Report and Literature Review

  • Zhao, Yi-Ming;Zhang, Hao-Chuan;Li, Zhong-Rong;Zhang, Hai-Yan
    • Parasites, Hosts and Diseases
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    • v.52 no.5
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    • pp.545-549
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    • 2014
  • Sparganosis is an infection with a parasitic tapeworm larva that occurs by eating infected foods or drinking contaminated water. The larvae can migrate to a tissue or muscle in the chest, abdominal wall, extremities, eyes, brain, urinary tract, pleura, pericardium, spinal canal, or scrotum. Herein, we report a 5-month old infant with scrotal sparganosis who was initially suspected to have a scrotal inflammatory mass with a history of applying raw frog meat into the umbilicus. Preoperative ultrasound examinations and computed tomography (CT) scanning misdiagnosed the mass as a scrotal teratoma. The scrotal mass was surgically removed, and the histopathology proved it to be scrotal sparganosis. This case displays the youngest patient ever reported with scrotal sparganosis, and the first description of CT characteristics of scrotal sparganosis. A detailed medical history is necessary for patients with scrotal masses suspected of sparganosis. In addition, ultrasound and CT examinations are helpful to rule out other causes of a scrotal mass.

Scrotal pyocele secondary to gastrointestinal perforation in infants: a case series

  • Soo-Hong Kim;Yong-Hoon Cho;Hae-Young Kim;Narae Lee;Young Mi Han;Shin Yun Byun
    • Journal of Yeungnam Medical Science
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    • v.40 no.1
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    • pp.86-90
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    • 2023
  • Pyocele in infants is rarely described in the literature, but it is an emergent condition that requires rapid recognition and treatment to prevent testicular loss. If peritonitis due to gastrointestinal perforation occurs, abdominal contamination may spread through a patent processus vaginalis in an infant, which may lead to pyocele. We report the cases of three infants with scrotal pyocele due to the spread of infection or inflammatory material from the intraperitoneal cavity through a patent processus vaginalis. Two infants were surgically treated, while the other was treated with percutaneous aspiration and intravenous antibiotic administration. Although rare, pyocele should be considered in the differential diagnosis of acute scrotum in infants, especially in infants who previously had peritonitis due to gastrointestinal perforation.

Various Intratesticular Hypoechoic Lesions on Scrotal Sonography (초음파에서 보이는 다양한 고환 내 저음영 병변)

  • Jung In Jo;Dal Mo Yang;Hyun Cheol Kim;Sang Won Kim
    • Journal of the Korean Society of Radiology
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    • v.83 no.4
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    • pp.861-875
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    • 2022
  • Sonography with a high-frequency transducer is the modality of choice for imaging the scrotum. Most intratesticular lesions are hypoechoic. Differentiation of intratesticular hypoechoic lesions as either malignant or benign is important because the treatment of these lesions vary. In this paper, we review the sonographic features of different types of intratesticular hypoechoic lesions, such as testicular cysts, testicular tumors, testicular inflammatory lesions, segmental testicular infarction, and testicular trauma.

Imaging of Scrotal Tumors (음낭 종양의 영상 소견)

  • Seungsoo Lee;Young Taik Oh;Dae Chul Jung
    • Journal of the Korean Society of Radiology
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    • v.82 no.5
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    • pp.1053-1065
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    • 2021
  • Ultrasonography is effective for imaging superficial organs, such as the scrotum. Using a highfrequency transducer, ultrasonography can identify the location and characteristics of scrotal lesions with high accuracy. The primary role of ultrasound (US) in the evaluation of a scrotal mass is to determine if it is intratesticular or extratesticular. Additional clinical information and other imaging options may be needed to diagnose benign tumors and pseudo-tumors. MRI is an effective problem-solving tool in cases with nondiagnostic US findings. CT is helpful for staging testicular cancer and localizing undescended testis. This review covers the imaging features of testicular and extratesticular tumors.

A Study on Phrygia Headgear (프리기아[Phrygia] 모자에 대한 연구)

  • Yi-Chang Youngsoo
    • Journal of the Korean Society of Costume
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    • v.55 no.4 s.94
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    • pp.138-150
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    • 2005
  • Phrygia headgear has an important meaning from the perspectives of costume history and cultural exchanges in ancient times. This study is to investigate the prototype of Phrygia headgear through analysis of its manufacturing methods and styles on the basis of prior studies on ancient sculptures and literatures conducted by European researchers and to examine its history and meanings. In these ways, this study will be helpful in understanding the importance of Phrygia headgear in cultural exchanges between the East and the West. Results of this study can be summarized as follows: Phrygia headgear was orn by eastern tribes, so it was a symbol of those from the east in ancient times. Phrygia headgear is frequently found in Greek artistic works of 5th to 4th century BC that depicted eastern tribes. Also, this headgear can be observed in artistic works for Mithras, Attis, or other gods. Since Phrygia headgear's shape is similar to that of Homer's helm, many researchers believe that it might be originated from Homer's helm. This headgear made of oxen scrotum(stierbeutel) or its surrounding skin has a long end at the top. This long end is round and drooping toward the front side. From such unique shape, we top. This long end is round and drooping toward the front side. From such unique shape, we top. This long end is round and drooping toward the front side. From such unique shape, we can draw a conclusion that Phrygia headgear was made of oxen scrotum and its surrounding skin. Dependingy on drooping patterns, there are various shapes, such as the round, tightly swollen one worn by Mithras, the tongue-shaped one found in Basilika S. Apolinare Nuovo's mosaic depicting three wise men, the balloon-shaped one frequently found in Greek vases depicting Scythian, and the one drooping to the side depicted in Alexandersarkophag. Further, some Phrygia headgear has covers for neck and ears. For example, Phrygia headgear worn by Persian Satrap tribe has such covers attached to the head part. Meanwhile, Phrygia headgear worn by Amazone tribe does not show such separate covers, Rather, one piece of oxen skin was tanned and finished to make such covers. Wearing Phrygia headgear can be interpreted in several ways. Use of animal's skin for wearing things is a unique aspect in ancient societies because they believed that wearing animal skin would give them power of the animal. Further, Phrygia headgear made of oxen scrotum was a symbol of reproductive power to women.

A Case Report on Urethrotomy for Treatment of Urethral Calculi in Korean Cattle (한우의 요도결석증 치료를 위한 요도절개시술일례)

  • Kwun Hae Byeng
    • Journal of the korean veterinary medical association
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    • v.16 no.1112
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    • pp.369-374
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    • 1980
  • The treatment of a Korean cattle aged 1.8 years which had the urinary calculus in the middle region between the scrotum and the anus was carried out in Kyungju, 1978. This case is very rare in animal surgery but the result of' the surgery was very effecti

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Sterility Induced by Injection of Lactic acid Into Testicle in Dogs (개의 고환내 Lactic acid 주사에 의한 불임술)

  • Nam Tchi-Chou;Kim Tong-Joon
    • Journal of the korean veterinary medical association
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    • v.26 no.12
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    • pp.728-731
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    • 1990
  • The effectiveness as a chemical sterilant of lactic acid In male dogs was investigated. The scrotum and testis were swollen 2 to 3 weeks after Injection of lactic acid into testicle and the testicle became necrosis and atrophy 8 weeks after injection. Azo

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