Painless inter epididymal testicular torsion of the spermatic cord

Romano, Salomón Víctor; Hernan, Haime S.; Fredotovich, N.

doi:10.1590/s1677-55382007000100013

Cited by 2 publications

(1 citation statement)

References 2 publications

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“…The incidence of this deformity ranges between 12 and 16% [ 10 , 24 ]. Although recent literature on this topic is scarce, prophylactic contralateral fixation has not been shown to increase morbidity and is therefore recommended [ 1 , 2 , 4 , 11 , 14 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

Testicular Torsion in the Absence of Severe Pain: Considerations for the Pediatric Surgeon

et al. 2021

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Testicular torsion is a surgical emergency. Early diagnosis and surgical treatment are vital in order to preserve the affected gonad. Current surgical teaching emphasizes sudden, severe, persistent, unilateral scrotal pain as a cardinal symptom of testicular torsion. We present the case of unilateral testicular torsion in a 14-year-old patient who presented with the absence of severe pain. Despite a delayed presentation to the emergency department, the gonad could be salvaged successfully. Literature on the topic of testicular torsion presenting with minimal pain is limited. Nevertheless, pediatric surgeons might be faced with cases similar to the one we describe. Underestimating this phenomenon might lead to a delay of treatment. In such cases, ultrasound can be a beneficial addition in the diagnosis and accelerate definitive operative treatment. The presented case clearly demonstrates that, although we do not include testicular torsion without severe pain in our surgical teaching algorithms, we might encounter it in our clinical practice.

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Section: Discussionmentioning

confidence: 99%

Testicular Torsion in the Absence of Severe Pain: Considerations for the Pediatric Surgeon

et al. 2021

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Testicular Torsion Pain Honeymoons

Mellick

Sinex

2017

Pediatr Emer Care

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A subset of testicular torsion patients report resolution of their initial severe pain that is followed by variable periods of hours to days of reduced or absent pain. Other patients report only mild pain that is described as gradual in onset. Because of delayed initial presentations or less than timely returns for secondary evaluation, these pain honeymoons may be partially responsible for poor clinical outcomes of the torsed spermatic cords and ischemic testicles.

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Painless inter epididymal testicular torsion of the spermatic cord

Cited by 2 publications

References 2 publications

Testicular Torsion in the Absence of Severe Pain: Considerations for the Pediatric Surgeon

Testicular Torsion in the Absence of Severe Pain: Considerations for the Pediatric Surgeon

Testicular Torsion Pain Honeymoons

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