Neonatal testicular infarction--possibly due to compression of the umbilical cord?
Neonatal testicular infarction is a rare occurrence. We report on a newborn infant with bilateral testicular infarction. At birth, the uncut umbilical cord ran taut between the thighs making a complete loop around the genitals, compressing the testes. At the age of 6 hours, because of increasing agitation and the beginnings of scrotal discoloration, the infant was operated on, showing a bilateral testicular infarction potentially induced by strangulation of the twisted umbilical cord. Here, we discuss the clinical findings of neonatal testicular infarction and give advice as to the management of this serious complication with regard to the available published data.
Department of Neonatology, University Childrens' Hospital, and Department of Urology, University of Cologne, Kerpener Strasse, Cologne, Germany. Frank.Eifinger@uk-koeln.de
Frank
F
Eifinger
Ulrike
U
Ahrens
Sebastian
S
Wille
Bernhard
B
Roth
Udo
U
Engelmann
D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D007238:Infarction / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D009919:Orchiectomy / Q000379:methods; D010808:Physical Examination / Q000379:methods; D011312:Pressure; D035583:Rare Diseases; D018570:Risk Assessment; D013086:Spermatic Cord Torsion / Q000150:complications* / Q000175:diagnosis; D013733:Testicular Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D013737:Testis / Q000098:blood supply* / Q000601:surgery; D013997:Time Factors; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler; D014470:Umbilical Cord / Q000503:physiopathology*