Bilateral intra‐uterine testicular torsion in a newborn

Groisman, Gabriel M.; Nassrallah, Mayssa; Bar-Maor, J.A.

doi:10.1046/j.1464-410x.1996.26233.x

Cited by 19 publications

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“…Classical histological findings of postpubertal twisted testes include progressive hypoxic lesions, such as lobular edema and slight blood extravasation up to massive hemorrhagic infarction . Similar changes were found also in the prenatally twisted testes and were demonstrated in one of our cases . The study was approved by the Institutional Clinical Research Committee.…”

Section: Methodssupporting

confidence: 88%

Fetal diagnosis of testicular torsion: what shall we tell the parents?

et al. 2014

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Section: Methodssupporting

confidence: 88%

Fetal diagnosis of testicular torsion: what shall we tell the parents?

et al. 2014

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“…Intrauterine torsion of the testis [IUTT] is a relatively rare neonatal pathology. To our knowledge, approximately 150 verifiable cases have been reported; 1–5 22 of those were bilateral 6–8 …”

Section: Introductionmentioning

confidence: 99%

Prenatal testicular torsion: Ultrasonographic features, management and histopathological findings

Arena

Nicòtina²,

Romeo

et al. 2006

Int J of Urology

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Aim : To highlight the ultrasonographic features of prenatal torsion of the testis in utero (IUTT) at presentation, the neonatal management and the histological findings postorchiectomy or biopsy. Methods : Seven newborns underwent emergency exploration for IUTT. All patients underwent a sonography and real-time color Doppler ultrasound study of the scrotum before any surgical procedure. A histological examination was performed in the removed specimens. Results : Sonography of the scrotum revealed enlarged, heterogeneous testes. In all cases the color and power Doppler did not reveal any flow signal on the affected side. Four newborn with unilateral testicular torsion underwent orchiectomy and contralateral orchidopexy. In one neonate after detorsion and with the absence of gangrenous changes and a reassuring biopsy, a twisted testis could be treated conservatively with orchidopexy. In another case, the parents, acknowledging the inviability of the affected testis, gave consent only for a biopsy of the testis. In the neonate with bilateral IUTT, bilateral testicular biopsies were performed. Histology of the removed testes variably showed interstitial red cell extravasion and coagulation or hemorrhagic necrosis. Light microscopy of the preserved testis highlighted surviving seminiferous tubules, with gonocytes, spermatogonia and fetal Sertoli cells. Conclusions : An early diagnosis and treatment in IUTT is essential. Surgical exploration should be always performed through the inguinal route. In bilateral IUTT testes should be left to try to assure, as long as possible, a residual Leydig cell function.

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“…Perinatal testicular torsion is usually unilateral, but in 11–21% of cases occurs bilaterally 5–8 . Bilateral perinatal torsion is usually synchronous when it occurs; asynchronous perinatal torsion is rarely reported 6,9–11 …”

Section: Discussionmentioning

confidence: 99%

Spin on perinatal testicular torsion

Samnakay

Tudehope

Walker

2006

J Paediatrics Child Health

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We describe a recent case of perinatal testicular torsion at our institution. The presentation, management and outcome of perinatal testicular torsion are quite different to testicular torsion in the general paediatric population. The literature describes a variety of management options for perinatal testicular torsion and these are briefly reviewed. In cases of unilateral perinatal testicular torsin, there is controversy over whether surgery to fix the contralateral testis is required, and if so, the appropriate timing for the surgery. A good understanding of the issues unique to perinatal torsion will facilitate appropriate counseling of parents of affected neonates.

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Bilateral intra‐uterine testicular torsion in a newborn

Cited by 19 publications

References 0 publications

Fetal diagnosis of testicular torsion: what shall we tell the parents?

Fetal diagnosis of testicular torsion: what shall we tell the parents?

Prenatal testicular torsion: Ultrasonographic features, management and histopathological findings

Spin on perinatal testicular torsion

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