[Torsion of spermatic cord: can we trust a previous orchidopexy? A case report with loss of a single testis with medico-legal issue].
The authors report the case of a patient aged of 27 years who presented in the past a testicular torsion with loss of the ipsilateral testis and fixation of the contralateral one. Ten years later, he presented with pain on the remaining testis, which evolved to necrosis, and led to a second orchidectomy. In retrospective, it appears that the assumption that the testis had been adequately fixed ten years earlier led to the loss of the remaining testis. We thus recommend an urgent surgical exploration when facing a suspicion of spermatic cord torsion, regardless of previous history of orchidopexy.
Service d'urologie, centre hospitalier inter-communal André-Grégoire, 56, boulevard de la Boissière, 93100 Montreuil, France. emmanuel.van-glabeke@chi-andre-gregoire.fr
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Van Glabeke
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Ferhi
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Maloum
D000328:Adult; D006801:Humans; D008297:Male; D008318:Malpractice; D013086:Spermatic Cord Torsion / Q000150:complications* / Q000601:surgery*; D013997:Time Factors; D017211:Treatment Failure; D013521:Urologic Surgical Procedures, Male