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Acute segmental testicular infarction: differentiation from tumour using high frequency colour Doppler ultrasound

S Sriprasad, FRCS, MSc(Urol) 1 G G Kooiman, MBBS, FRCS 1 G H Muir, FRCS(Ed), FRCS(Urol) 1 and P S Sidhu, BSc, MRCP, FRCR 2

Departments of 1Urology and 2Radiology, Kings College Hospital, Denmark Hill, London SE5 9RS, UK



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  		Figure 1. B-mode ultrasound of the lower pole of the right testis demonstrating an enlarged, heterogeneous, low reflective area with an ill defined margin (arrows), suggesting the presence of a testicular tumour.

 


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  		Figure 2. Colour Doppler ultrasound of the lower pole of the right testis showing lack of colour Doppler flow, strongly suggesting the presence of segmental ischaemia or infarction area rather than a vascular tumour.

 




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