[Seminoma necrosis by testicular torsion].
The coincidence of a classical scrotal testicular torsion with a scrotal tumor is a rare event. In the case described here the classical histological characteristics of a seminoma were present in addition to clear signs of testicular torsion with fibrin-containing thrombi in the intratesticular capillaries, so that the ischemia time predicted by the pathologists correlated well with the clinical data of 7.5 h for the testicular torsion estimated at the time of the intervention. The intraoperative diagnosis made by the surgeon allowed a rapid response with only a semi-castration, excision of the wound edges and a highest possible amputation of the funiculus.
Urologische Abteilung, Evangelisches Krankenhaus Witten im Diakoniewerk Ruhr gGmbH, Lehrstuhl für Geriatrie, Universität Witten/Herdecke, Pferdebachstrasse 27-43, 58455, Witten, Deutschland. awiedemann@dwr.de
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Wiedemann
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Zienkiewicz
D002369:Castration; D006801:Humans; D007888:Leigh Disease / Q000473:pathology; D008297:Male; D018239:Seminoma / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D013086:Spermatic Cord Torsion / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D013736:Testicular Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult