title: Testicular Torsion in Cerebral Palsy - Resident's Grey Area.
abstract: The association of testicular torsion and cerebral palsy is a well-known fact. But the infrequent presentation to emergency room makes the clinician sceptical. Such a presentation often puzzles the residents regarding the diagnosis and the treatment. Here we present a case of an adolescent boy aged with cerebral palsy 13 years with incessant crying and not feeding well for last 3days. Right inguinal region showed a tender globular swelling with absence of testis in scrotum along with signs of septicaemia. The inguinal exploration was performed under general anaesthesia which revealed gangrenous right testis. Right orchidectomy and left orchidopexy was performed and the patient recovered well. This case is reported for its complexity due to lack of reliable history, delayed presentation and associated comorbidities posing challenges to the treating surgeons.
authors.affiliation: Junior resident, Department of Surgery, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: Hemanth S
authors.initials: HS
authors.lastname: Ghalige
authors.affiliation: Junior resident, Department of Surgery, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: Babitha
authors.initials: B
authors.lastname: N
authors.affiliation: Senior Registrar, Department of Surgery, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: Chetan
authors.initials: C
authors.lastname: Maibam
authors.affiliation: Professor, Department of Surgery, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: M Birkumar
authors.initials: MB
authors.lastname: Sharma
authors.affiliation: Professor, Department of Surgery, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: Th Sudhir Chandra
authors.initials: TS
authors.lastname: Singh
keywords: Cerebral palsy; Comorbidities; Diagnostic dilemma; Resident; Torsion of testis