[Torsion of the testicle in the newborn: report of 3 cases (author's transl)].
The authors report 3 cases of torsion of the spermatic pedicle in the newborn and give us a very complete review of the literature. The term torsion of the testicle should be replaced by torsion of the "spermatic pedicle", the exact level of the torsion being different in the adolescent from the newborn. In the adolescent, it is the horizontal position of the testicle with lengthening of the intravaginal portion of the pedicle or yet the existence of a true membrane between the epididymis and the testicle which favors intravaginal torsion. This anatomical predisposition was bilateral nine times out of ten. In the newborn, it is the testicle and the tunica vaginalis not yet fixed which, as on a pivot, turn with the cord which lies above the tunica vaginalis. The unevenness of the cremasteric fibers and the (Terme non familier) in the helicoid spermatic veins can facilitate the torsion. Bilateral torsion is even possible in the newborn. The clinical features of torsion in the newborn is non-tenderness when the scrotum is swollen, ecchymotic or nontransilluminating. The only logical approach is emergency surgical exploration. Unfortunately, the already irreversible ischemic necrosis (illégible) a castration. The possibility of bilatertion of the opposite testicle. The nontenderness of the lesion explains the frequent error in diagnosis and a certain number of cases of testicular atrophy in adults from birth.
D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000601:surgery; D008297:Male; D013086:Spermatic Cord Torsion / Q000151:congenital* / Q000601:surgery
La torsion du testicule chez le nouveau-né. A propos de trois cas.