Bilateral Simultaneous Testicular Torsion in a Newborn: Report of a Case

Pogorelić, Zenon; Jukić, Miro; Škrabić, Veselin; Mrklić, Ivana; Vidas, Vesna Fridl; Jurić, Ivo; Furlan, Dubravko

doi:10.14712/18059694.2018.4

Cited by 4 publications

(2 citation statements)

References 10 publications

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“…On the other hand, the survivability of the affected testicle dropped to only 24.4% after 24 to 48 hours of torsion [28,29]. The typical age distribution where testicular torsion can be expected to be the cause of acute scrotum is bimodal, with the first peak in the neonatal period, and the second happening around puberty [30,31].…”

Section: Discussionmentioning

confidence: 99%

Comparison of the outcomes of testicular torsion among children presenting during the Coronavirus Disease 2019 (COVID-19) pandemic versus the pre-pandemic period: A systematic review and meta-analysis

Pogorelić

Anand

Artuković

et al. 2022

Journal of Pediatric Urology

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Section: Discussionmentioning

confidence: 99%

Comparison of the outcomes of testicular torsion among children presenting during the Coronavirus Disease 2019 (COVID-19) pandemic versus the pre-pandemic period: A systematic review and meta-analysis

Pogorelić

Anand

Artuković

et al. 2022

Journal of Pediatric Urology

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“…FIGURE 1: PRISMA Flowchart PRISMA: Preferred Reporting Items for Systematic Reviews and Meta-AnalysesReferences-[7][8][9][10][11][12][13][14] …”

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Bilateral Testicular Torsion: A Systematic Review of Case Reports

Bokhari¹,

Aldarwish²,

Alharbi³

et al. 2023

Cureus

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Bilateral testicular torsion is a rare but serious condition characterized by twisting both testicles around their respective spermatic cords, leading to reduced blood flow and potential loss of the testicles. Treatment of this condition may involve surgical detorsion of the affected testicles and fixation to prevent recurrence and, in some cases, removal of severely damaged testicles. In April 2023, a systematic review of case reports was performed to examine the presentation, clinical features, diagnostic process, and management of bilateral testicular torsion. Our search encompassed the following databases: PubMed, ScienceDirect, and Google Scholar. Out of 340 studies, only eight cases met our criteria. However, this review discusses bilateral testicular torsion symptoms, investigation, and outcome.

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Diagnostic Accuracy of Doppler Ultrasound Compared to Surgical Exploration in Torsion Testis

Thekeveetil¹,

Krishnadas²,

Vishwambharan³

2021

jemds

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BACKGROUND Twisting of the spermatic cord resulting in ischemia of the testicles known as testicular torsion is a surgical emergency. Delay in diagnosis or surgery results in loss of testicles. Doppler ultrasound of scrotum is used in evaluating acute scrotum to support or rule out a diagnosis of torsion testis. Our study compares Doppler results with findings at exploration to finding out the accuracy of Doppler diagnosis in this scenario. METHODS This was a record based observational cross-sectional study. Out of all cases of acute scrotum presented to a tertiary care hospital over 14 months time, those patients with Doppler evaluation done were identified (n = 52) and their surgical findings were compared to the Doppler findings. Diagnostic accuracy of Doppler in diagnosing torsion testis was measured using sensitivity, specificity, accuracy, and predictive values. RESULTS Out of these 52 cases, 44 (84.6 %) were testicular torsion on exploration while remaining cases were epididymo-orchitis four (7.7 %) and testicular appendage torsion four (7.7 %). Among 44 cases of torsion testis, 31 (70.5 %) patients underwent orchiectomy (70.45 %) and in remaining 13 (29.5 %) orchiopexy was done. Sensitivity of Doppler to diagnose testicular torsion was 86.4 %, specificity was 87.5 % and accuracy was 86.54 %. Positive predictive value (PPV) was 97.4 % and negative predictive value (NPV) was 53.8 %. CONCLUSIONS Doppler ultrasound can be used as an adjunct to clinical findings in acute scrotum. High positive predictive value suggest that all Doppler diagnosed torsion should undergo emergency exploration as it will be correct in 97.5 % cases. If performing a Doppler study delays the definitive management, and if clinical findings are highly suggestive of testicular torsion, treating doctor can proceed to surgery without Doppler evaluation. KEY WORDS Doppler, Torsion Testis, Scrotum

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Bilateral Simultaneous Testicular Torsion in a Newborn: Report of a Case

Cited by 4 publications

References 10 publications

Comparison of the outcomes of testicular torsion among children presenting during the Coronavirus Disease 2019 (COVID-19) pandemic versus the pre-pandemic period: A systematic review and meta-analysis

Comparison of the outcomes of testicular torsion among children presenting during the Coronavirus Disease 2019 (COVID-19) pandemic versus the pre-pandemic period: A systematic review and meta-analysis

Bilateral Testicular Torsion: A Systematic Review of Case Reports

Diagnostic Accuracy of Doppler Ultrasound Compared to Surgical Exploration in Torsion Testis

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