[Testicular necrosis resulting from torsion in children. Perspective of a second level hospital].
BACKGROUND
The disaster of a testicular torsion leading to the possible loss of a gonad within a few hours is a well known occurrence and it is discouraging. Clinical examples emphasizing torsion of the testis as the most important differential diagnosis in children with acute scrotal pain and swelling, as well as the need for early exploration, have been reported with increasing frequency.


METHODS
Seventy cases of clinically diagnosed unilateral torsion of the testis have been admitted to our pediatric surgical unit over a period of 8 years. There were 46 cases between 13 and 15 years of age; 34 were admitted after 24 ho and 25 after 3 days of multilating disease. Left side was involved in 46 cases and 61 testicles were removed.


CONCLUSIONS
In order to avoid initiation procedures, early diagnosis is very important.
Departamento de Cirugía General, Hospital Pediátrico Moctezuma, México.
Carlos
C
Baeza-Herrera
Luis Manuel
LM
García-Cabello
Heladio M
HM
Nájera-Garduño
Alejandra I
AI
Ortiz-Zúniga
Luis Angel
LA
Sánchez Fernández
D000293:Adolescent; D002648:Child; D003430:Cross-Sectional Studies; D006761:Hospitals; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009336:Necrosis; D012189:Retrospective Studies; D013086:Spermatic Cord Torsion / Q000150:complications* / Q000175:diagnosis / Q000601:surgery