open access

Vol 22, No 2 (2019)
Clinical vignette
Submitted: 2019-06-04
Accepted: 2019-06-27
Published online: 2019-07-31
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False-positive halo sign on testicular scintigraphy in a 2-year-old boy with epididymo-orchitis

Mehdi Rajaeipour1, Nasrin Mohammadi Aref2, Nima Bakhtiari3
DOI: 10.5603/NMR.2019.0023
·
Pubmed: 31482566
·
Nucl. Med. Rev 2019;22(2):94-95.
Affiliations
  1. Urology Department Faculty of Medicine Dezful University of Medical Science, Dezful, Iran
  2. Student Research Committee, Islamic Azad University, Tehran Medical Branch, Tehran, Iran
  3. Pain Research Center Imam Khomeini Hospital Ahvaz Jundishapur University Of Medical Science, Ahvaz, Iran

open access

Vol 22, No 2 (2019)
Clinical vignette
Submitted: 2019-06-04
Accepted: 2019-06-27
Published online: 2019-07-31

Abstract

We reported a case of 2-year-old child where epididymo-orchitis was misdiagnosed as testicular torsion on scrotal scintigraphy. The scan showed that left hemiscrotum demonstrated a rim of increased activity with a photopenic center in the left testis (halo sign). At surgery, epididymo-orchitis was detected and there was no testicular torsion.

Abstract

We reported a case of 2-year-old child where epididymo-orchitis was misdiagnosed as testicular torsion on scrotal scintigraphy. The scan showed that left hemiscrotum demonstrated a rim of increased activity with a photopenic center in the left testis (halo sign). At surgery, epididymo-orchitis was detected and there was no testicular torsion.

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Keywords

testicular scintigraphy; torsion; 99mTc pertechnetate

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About this article
Title

False-positive halo sign on testicular scintigraphy in a 2-year-old boy with epididymo-orchitis

Journal

Nuclear Medicine Review

Issue

Vol 22, No 2 (2019)

Article type

Clinical vignette

Pages

94-95

Published online

2019-07-31

Page views

562

Article views/downloads

536

DOI

10.5603/NMR.2019.0023

Pubmed

31482566

Bibliographic record

Nucl. Med. Rev 2019;22(2):94-95.

Keywords

testicular scintigraphy
torsion
99mTc pertechnetate

Authors

Mehdi Rajaeipour
Nasrin Mohammadi Aref
Nima Bakhtiari

References (12)
  1. Santhosh S, Guha P, Bhattacharya A, et al. False-positive "halo" sign on testicular scintigraphy in a 5-year-old boy with epididymitis and hydrocele. Indian J Nucl Med. 2011; 26(3): 159–160.
  2. Suciu M, Serban O, Iacob G, et al. Severe Acute Epididymo-Orchitis Complicated with Abscess and Testicular Necrosis–Case Report. Ultrasound Int Open. 2017; 3(1): E45–E47.
  3. Wu HC, Sun SS, Kao A, et al. Comparison of Radionuclide Imaging and Ultrasonography in the Differentiation of Acute Testicular Torsion and Inflammatory Testicular Disease. Clinical Nuclear Medicine. 2002; 27(7): 490–493.
  4. Erbay N, Brown S, Spencer R. Hydrocele Mimicking Testicular Torsion on Radionuclide and Ultrasound Studies. CLINICAL NUCLEAR MEDICINE. 1997; 22(8): 570–571.
  5. Derebek E, Akgür FM, Kut O, et al. Ipsilateral Thigh Hyperperfusion During Acute Testicular Torsion. Clinical Nuclear Medicine. 1995; 20(6): 554–556.
  6. Blask ARN, Bulas D, Shalaby-Rana E, et al. Color Doppler sonography and scintigraphy of the testis: a prospective, comparative analysis in children with acute scrotal pain. Pediatr Emerg Care. 2002; 18(2): 67–71.
  7. Karadeniz T, Topsakal M, Ariman A, et al. Prospective comparison of colour doppler ultrasonography and testicular scintigraphy in acute scrotum. International Urology and Nephrology. 1996; 28(4): 543–548.
  8. Yuan Z, Luo Q, Chen L, et al. Clinical study of scrotum scintigraphy in 49 patients with acute scrotal pain: A comparison with ultrasonography. Annals of Nuclear Medicine. 2001; 15(3): 225–229.
  9. Paltiel HJ, Connolly LP, Atala A, et al. Acute scrotal symptoms in boys with an indeterminate clinical presentation: comparison of color Doppler sonography and scintigraphy. Radiology. 1998; 207(1): 223–231.
  10. Vieras F, Kuhn CR. Nonspecificity of the "rim sign" in the scintigraphic diagnosis of missed testicular torsion. Radiology. 1983; 146(2): 519–522.
  11. Palestro C, Finn C. Hydrocele and Epididymitis Mimicking Testicular Torsion on Scrotal Scintigraphy. Clinical Nuclear Medicine. 1993; 18(10): 910–911.
  12. Rosenson A, Ali A, Fordham E, et al. A False-Positive Scan for Testicular Torsion and False-Negative Scan for Epididymitis. Clinical Nuclear Medicine. 1990; 15(12): 863–864.

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