title: Pseudotorsion of testis.
abstract: Unilateral scrotal inflammation was noted in an otherwise asymptomatic three-day-old male and was initially believed to be due to testicular torsion. It proved, however, to be the result of peritonitis from a thermometer-induced rectal perforation presenting via a communicating hydrocele. Treatment included primary closure of the rectal perforation with colostomy diversion combined with parenteral antibiotics. Preoperative evaluation of neonates with acute unilateral inflammation of the scrotum and a known hydrocele or hernia with flat and oblique x-ray films may reveal significant unsuspected intra-abdominal pathology.
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003125:Colostomy; D003937:Diagnosis, Differential; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000175:diagnosis*; D007416:Intestinal Perforation / Q000150:complications / Q000175:diagnosis; D008297:Male; D010538:Peritonitis / Q000175:diagnosis / Q000209:etiology; D012007:Rectum / Q000293:injuries; D013733:Testicular Diseases / Q000175:diagnosis*; D006848:Testicular Hydrocele / Q000150:complications; D014102:Torsion Abnormality
chemical_list: D000900:Anti-Bacterial Agents