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Perinatal Acute Scrotum: Controversies in the Management of Torsion of the Testis

Perinatal Acute Scrotum: Controversies in the Management of Torsion of the Testis Abstract Sir.—Perinatal testicular torsion presenting with signs of an acute scrotum is a very rare condition, and bilateral disease is even more unusual. Review of the literature indicates that there is still controversy about optimal management. We report herein two cases that support the approach of emergency surgery. Patient Reports.—Patient 1.—A 3930-g full-term boy was born vaginally after an uneventful pregnancy. The Apgar score was 9 at 1 and 5 minutes. On ultrasound examination 1 week before delivery, a bilateral hydrocele was detected. The results of physical examination at birth were normal except for the bilateral hydrocele and discoloration of the entire scrotum. Owing to the persistence of the discoloration, surgical exploration was performed at age 5 hours. Both testes were found to be dark and edematous. No external torsion was noted. After warming, the color of the testes became normal. Biopsy of the left testis revealed an References 1. Brandt MT, Sheldon CA, Wacksman J, Matthews P. Perinatal testicular torsion: principles of management . J Urol . 1992;147:670-672. 2. Currie BG, Kern IB, Hagan BE. Torsion of the testis . Med J Aust . 1989;151:568-574. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Perinatal Acute Scrotum: Controversies in the Management of Torsion of the Testis

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Publisher
American Medical Association
Copyright
Copyright © 1993 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1993.02160330023008
Publisher site
See Article on Publisher Site

Abstract

Abstract Sir.—Perinatal testicular torsion presenting with signs of an acute scrotum is a very rare condition, and bilateral disease is even more unusual. Review of the literature indicates that there is still controversy about optimal management. We report herein two cases that support the approach of emergency surgery. Patient Reports.—Patient 1.—A 3930-g full-term boy was born vaginally after an uneventful pregnancy. The Apgar score was 9 at 1 and 5 minutes. On ultrasound examination 1 week before delivery, a bilateral hydrocele was detected. The results of physical examination at birth were normal except for the bilateral hydrocele and discoloration of the entire scrotum. Owing to the persistence of the discoloration, surgical exploration was performed at age 5 hours. Both testes were found to be dark and edematous. No external torsion was noted. After warming, the color of the testes became normal. Biopsy of the left testis revealed an References 1. Brandt MT, Sheldon CA, Wacksman J, Matthews P. Perinatal testicular torsion: principles of management . J Urol . 1992;147:670-672. 2. Currie BG, Kern IB, Hagan BE. Torsion of the testis . Med J Aust . 1989;151:568-574.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Sep 1, 1993

References