A Rare Emergency: Testicular Torsion in the Inguinal Canal

Şener, Nevzat Can; Baş, Okan; Karakoyunlu, Nihat; Erçil, Hakan; Yeşil, Süleyman; Zengın, Kürşad; İmamoğlu, Abdurrahim

doi:10.1155/2015/320780

Cited by 12 publications

(17 citation statements)

References 21 publications

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“…Pogorelić et al [4] reported that 3 out of 8 cases of cryptorchidism were rescued and they were all over 13 years of age, and within 6 h from the onset of symptoms. Şener et al [7] reported that the rescue rate was about 90% within 6 h from the onset of symptoms and decreased to less than 10% 24 h after the onset of symptoms. In addition to the duration of testicular torsion, the degree of torsion and outcome are also closely related.…”

Section: Discussionmentioning

confidence: 99%

“…The clinical manifestations of the torsion of an UDT often lack specific symptoms and signs, and include irritability, nausea and vomiting, atypical abdominal pain and groin area pain [4,7]. Most of the abdominal type of UDT shows only mild tenderness in the abdomen, often without peritoneal irritation, and may be easily misdiagnosed as appendicitis [3].…”

Section: Discussionmentioning

confidence: 99%

“…Once the torsion of cryptorchidism is considered, emergency surgical examination should be performed [7]. The groin area open surgery is recommended for inguinal UDT, while laparoscopic examination is preferred for intra-abdominal UDT.…”

Section: Discussionmentioning

confidence: 99%

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Children with Cryptorchidism Complicated by Testicular Torsion: A Case Series

et al. 2018

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Objective: To investigate the clinical features, diagnosis, treatment and prognosis of children with cryptorchidism complicated by testicular torsion. Methods: The clinical data of 6 children with cryptorchidism complicated by testicular torsion admitted to our hospital from December 2000 to December 2016 were analyzed retrospectively. Results: All 6 children were diagnosed with cryptorchidism by surgery, their age was from 12 days up to 11 years, and the average time between onset of symptoms and diagnosis was 20.5 h. Torsion testis was located in the groin area and the rate of left to right was about 2:1. Twist was 600° on average. All children were admitted because of the inconsolable cry, abdominal pain, and the swelling of the groin. Three patients underwent orchidectomy, while the other 3 patients underwent detorsion and cryptorchidopexy. Color Doppler ultrasound examination showed normal testes at 6 months after operation. Only 1 case was diagnosed with cryptorchidism after birth. Conclusions: Cryptorchidism is an emergency in pediatric urology and often leads to a low testicular salvage rate, especially in infants, due to lack of knowledge, delayed diagnosis, and late treatment. Neonatal genital examination is important for the early diagnosis and management of cryptorchidism.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Children with Cryptorchidism Complicated by Testicular Torsion: A Case Series

et al. 2018

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“…Sener et al . ( 12 ), the oldest patient was only 5 years and 10 months old ( p = 0.0562), with shorter range of participants' age. Both studies showed a statistically significant difference compared to our series of patients.…”

Section: Resultsmentioning

confidence: 94%

Is Testicular Torsion a Real Problem in Pediatric Patients With Cryptorchidism?

et al. 2021

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Purpose: To present management and outcomes of patients with cryptorchidism suffering from testicular torsion.Methods: This is a retrospective review of pediatric patients with torsion of undescended testes, who were treated between 2009 and 2019. We recorded: the age, symptoms, duration of torsion, results of physical examination, surgery findings, and additional treatment. Additionally, an extensive online literature search, from 2015–2020, was performed to identify other similar case series.Results: We identified 9 boys with torsion of the undescended gonad, which represented 4.7% of all 192 boys with testicular torsion. The mean age of boys with torsion of undescended testis was 8.7 years. The mean duration of symptoms in our study group was long and it was up to 28.5 h. All patients had inguinal canal exploration. In eight cases, testicular necrosis and primary orchidectomy was performed. Furthermore, 45 cases were identified in the literature and reviewed.Conclusion: According to clinical experience and available studies, torsion of male undescended gonads is a comparatively rare condition. Nevertheless, diagnosis is still delayed and connected with inevitable orchidectomy.

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“…Although the incidence of torsion is higher in cryptorchid testis, there are only isolated reports of torsion of undescended testicle. [ 4 ]…”

Section: Discussionmentioning

confidence: 99%