When findings support or raise suspicion of spermatic cord torsion, emergent scrotal exploration is indicated and should not be delayed. Where there is a suspicion of testicular tumour preceding mass or chronic history 24. Testicular torsion occurs when the spermatic cord becomes twisted. This case showed that this diagnosis can occur even when the testis is still fixed to the scrotal wall.
Testicular torsion remains the most frequent cause of testicular ischemia, especially in adolescents and young adults. Detailed description of the testicular anatomic position is essential to adequate diagnosis, treatment and prognostic evaluation. Testicular torsion is a true surgical emergency because testis viability is inversely related to the duration of torsion. Testicular torsion is the most common cause of acute scrotal pain in the prepuberal and adolescent boys and should be foremost in the minds of primary care. The pathological study showed 11 primary testicular tumors and 4 paratesticular tumors rhabdomyosarcomas, with 60% being germinal tumors and the rest nongerminal. Neonatal testicular torsion, also known as perinatal testicular torsion is a subject of debate among surgeons.
Testicular torsion occurs when a testicle rotates, twisting the spermatic cord that brings blood to the scrotum. However, it can result in vascular compromise leading to testicular ischemia and injury, and if not corrected, necrosis and testicular nonviability. Testicular torsion is a twisting of the spermatic cord and its contents and is a surgical emergency affecting 3. Testicular torsion is the most common cause of acute scrotal pain in the prepuberal and adolescent boys and should be foremost in the minds of primary care physicians evaluating these children. Testicular torsion can happen in all ages, but usually happens in boys ages 1216 about 65% of all testicular torsion or as a young baby also called neonatal torsion. Testicular torsion symptoms and causes mayo clinic. It can also occur following an injury to the groin area. Surgical correction is indicated after failure of clinical treatment or for ectopic testes. Testicular torsion usually occurs in males due to rapid growth during puberty between the ages of 12 and 16, but it can occur at any age, even before birth. Usually, the testicle is held in place by surrounding tissue, but some boys dont have enough anchoring tissue, allowing the testicle to move freely and twist within the. Torsion testicular aguda y orquiectomia articulo original medigraphic. Testis tissue survival after tt is dependent on the degree and duration of tt. This causes a restriction in blood flow to the testes, severe pain, and possibly permanent damage. Torsion testicular trastornos urogenitales manual msd version.
A 31yearold male who had previous testicular fixation for testicular torsion with a single stitch to the lower pole before 6 years presented with. The most common clinical form of presentation was a painless testicular mass. Pdf the impact of testicular torsion on testicular function. Abdomen agudo, apendicitis, torsion testicular en pediatria. Download acrobat pdf file 32kb help with pdf files. Recurrent testicular torsion after previous orchiopexy is rare and needs high index of suspension to avoid misdiagnosis and delayed management. Testicular torsion american pediatric surgical association. Testicular torsion is most common between ages 12 and 18, but it can occur at any age, even before birth. Pediatric testicular torsion is an acute vascular event in which the spermatic cord becomes twisted on its axis see the image below, so that the blood flow to or from the testicle becomes impeded.
Neonatal testicular torsion either intrauterine or postnatal results into. Statistical information are derived from main studies published in the last 20 years. Torsion testicular en pediatria, diagnostico y manejo. Pediatric testicular torsion doctors and providers. Acute testicular pain, often with abdominal pain and sometimes vomiting has a high predictive value for testicular torsion. Sonographic appearances of the epididymis in boys with acute testicular torsion but preserved testicular blood flow on color. The annual incidence of testicular torsion is approximately 14,000 persons under 25 years, with highest prevalence between 12 and 18 years old. Torsion testicular, sindrome escrotal agudo, orquiectomia, dolor escrotal. Issuu is a digital publishing platform that makes it simple to publish magazines, catalogs, newspapers, books, and more online.
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