title: An unusual case of intra-abdominal testicular torsion: role of laparoscopy.
abstract: The authors report a case of intra-abdominal testicular torsion, where laparoscopy has been useful for diagnosis and surgical management. A boy was presented with a left impalpable testis. Laparoscopy revealed a twisted spermatic cord at the inlet pelvis, which ended in a testicular remnant located in the sub-umbilical area. After orchiectomy, the pathologist confirmed testicular atrophy. Diagnosis of intra-abdominal testicular torsion should be considered in patients with impalpable testis and abdominal pain, but could not be excluded in those with no symptoms.
authors.affiliation: Department of Pediatric Surgery, Second University of Naples, Italy.
authors.forename: Alfonso
authors.initials: A
authors.lastname: Papparella
authors.forename: Fabiano
authors.initials: F
authors.lastname: Nino
authors.forename: Sandra
authors.initials: S
authors.lastname: Coppola
authors.forename: Pio
authors.initials: P
authors.lastname: Parmeggiani
mesh_terms: D002648:Child; D003937:Diagnosis, Differential; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D013085:Spermatic Cord / Q000601:surgery*; D013086:Spermatic Cord Torsion / Q000175:diagnosis / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*