title: Incomplete prenatal torsion of the testicle--a successful salvage.
abstract: The role of emergent intervention in prenatal testicular torsion is controversial. We report a case of successful testicular salvage of incomplete prenatal torsion. A 1-day-old male infant presented with a bluish-hued scrotum at birth. Testicular ultrasonography demonstrated right testicular torsion with minimal peripheral blood flow. Scrotal exploration was performed, confirming extravaginal torsion; both testes underwent orchiopexy. Subsequent imaging demonstrated normal bilateral testes with good vascular flow. Although intervention of prenatal torsion has been debated, the present case represents prenatal torsion saved by intervention. We propose the presence of any blood flow suggests incomplete torsion and the potential for salvage.
authors.affiliation: Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA. chingc2@ccf.org
authors.forename: Christina B
authors.initials: CB
authors.lastname: Ching
authors.forename: J Stephen
authors.initials: JS
authors.lastname: Jones
mesh_terms: D006801:Humans; D007231:Infant, Newborn; D008297:Male; D012074:Remission Induction; D013086:Spermatic Cord Torsion / Q000151:congenital* / Q000601:surgery*