Perinatal testicular torsion: preoperative radiological findings and the argument for urgent surgical exploration.
Perinatal testicular torsion is an infrequent event, the management of which has been controversial. Occurrence is rare, estimated at 1 in 7500 newborns (Kaplan, G. W., Silber, I.: Neonatal torsion--to pex or not? In: Urologic surgery in neonates and young infants. Edited by King, L.R. Philadelphia: W.B. Saunders Co., 1988; Chapter 20, pp. 386-395). The frequency of bilateral perinatal torsion is up to 22% (J Urol. 2005;174:1579). Here, we describe two cases of bilateral asynchronous perinatal torsion, in which the only presenting abnormality on exam after birth was a unilateral scrotal mass. These cases illustrate that contralateral perinatal torsion may be present even when physical exam findings suggest unilateral involvement.
Ahmed
Sally J
SJ
University of California, San Diego, USA.
Kaplan
George W
GW
DeCambre
Marvalyn E
ME
D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009336:Necrosis; D009919:Orchiectomy / Q000379:methods*; D010808:Physical Examination; D011300:Preoperative Care / Q000379:methods; D011859:Radiography; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D013086:Spermatic Cord Torsion / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D016896:Treatment Outcome; D014463:Ultrasonography