Metachronous bilateral torsion of the testicular appendices

Monga, Manoj; Scarpero, Harriette M.; Ortenberg, Joseph

doi:10.1046/j.1442-2042.1999.611115.x

Cited by 13 publications

(5 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The appendages are sessile structures, which predisposes them to torsion, and the appendix testis is most often affected. Torsion of the appendix testis occurs mainly in prepubertal boys (aged 7-14 years), is more frequent on the left side, and is a common cause of acute scrotum in this age group (41).…”

Section: Torsion Of the Testicular Appendagesmentioning

confidence: 99%

Gray-Scale and Color Doppler Sonography of Scrotal Disorders in Children: An Update

Aso

Enríquez²,

Fité³

et al. 2005

RadioGraphics

173

131

View full text Add to dashboard Cite

Ultrasonography (US) is well suited to the study of pathologic conditions of the scrotum in children. US provides excellent anatomic detail; when color Doppler and power Doppler imaging are added, testicular perfusion can be assessed. Gray-scale, color Doppler, and power Doppler US were used to study a spectrum of scrotal disorders in 750 boys aged 1 day to 17 years. The entities studied included processus vaginalis-related disorders (cryptorchidism, inguinal-scrotal hernia, and hydrocele); varicocele; acute scrotum (epididymo-orchitis, torsion of the testicular appendages, and testicular torsion); scrotal tumors; testicular microlithiasis; scrotal trauma; and systemic diseases with scrotal involvement. When combined with the results of clinical and physical examination, the information obtained with US is sufficient to enable diagnosis in most cases of scrotal disease. Moreover, color Doppler imaging is essential for differentiation between processes such as epididymo-orchitis or torsion of the testicular appendages and testicular torsion, which have similar clinical manifestations (pain, swelling, and redness) but are managed differently.

show abstract

Section: Torsion Of the Testicular Appendagesmentioning

confidence: 99%

Gray-Scale and Color Doppler Sonography of Scrotal Disorders in Children: An Update

Aso

Enríquez²,

Fité³

et al. 2005

RadioGraphics

173

131

View full text Add to dashboard Cite

show abstract

“…The situation may be accompanied by hydrocele and thickening of the scrotal wall, enlargement of the head of the epididymis, and increased testicular blood flow. Monga et al [22] described similar findings, i.e., demonstration of a pedunculated mass with a central hypoechoic area at the superior aspect of the testis, supporting the diagnosis of torsed gonadal appendix. Halachmi et al [23] repeated scrotal ultrasound in a child with clear sonographic diagnosis of gonadal appendix torsion.…”

Section: Imaging Of the Scrotummentioning

confidence: 73%

Inflammation of the Gonad in Prepubertal Healthy Children. Epidemiology, Etiology, and Management

Halachmi

2006

The Scientific World JOURNAL

View full text Add to dashboard Cite

The prevalence, etiology, and proper management of acute gonadal inflammation in prepubertal children are still controversial, with some reports defining it as rare, while others have found it more prevalent. So far, there is no consensus on imaging studies or standard follow-up procedures. In the minority of the children, the inflammation is related to congenital genitourinary malformation and bacterial infection. The majority of children with gonadal inflammation are healthy and do not have any underlying malformations; in this group, the etiology is related to viral infection or torsion of the gonad appendix. Management is directed towards the etiology. Hence, when bacterial inflammation is suspected, antibiotics should be given and full evaluation of the urinary tract system should be performed. For patients with negative medical history, absence of fever, and normal urinalysis, the diagnosis of bacterial inflammation is very unlikely, and there is neither justification for antimicrobial antibiotic therapy nor for any further urinary tract imaging. Caution should be taken with nonverbal children and infants, or patients with any abnormal parameter. For these patients, we recommend initial management as for bacterial urinary tract infection, until urine cultures results are obtained. This paper provides a comprehensive review with the related medical literature.

show abstract

“…Testicular appendix torsion is much more frequent than is suggested by the reported cases. More than 360 cases of unilateral, 11 cases of bilateral, 8 metachronous cases [152,153], and 3 synchronous cases [154][155][156] of testicular appendix torsion have been reported.…”

Section: Testicular Appendix Torsionmentioning

confidence: 99%

Perspectives in Pediatric Pathology, Chapter 19. Testicular Torsion, Testicular Appendix Torsion, and other Forms of Testicular Infarction

et al. 2016

View full text Add to dashboard Cite

Among the most frequent specimens at the pediatric surgical pathology bench, orchiectomy performed after testicular torsion deserves significant attention. Multiple implications, including fertility, legal complications, possibility of occult lesion, and others, need to be considered. Furthermore, torsion of testicular and other appendices represents common urological emergencies frequently encountered in surgical pathology. Here we present a review of testicular torsion and infarction, including theories about their pathogenesis and the appropriate handling by the diagnostic pathologist.

show abstract

Metachronous bilateral torsion of the testicular appendices

Cited by 13 publications

References 15 publications

Gray-Scale and Color Doppler Sonography of Scrotal Disorders in Children: An Update

Gray-Scale and Color Doppler Sonography of Scrotal Disorders in Children: An Update

Inflammation of the Gonad in Prepubertal Healthy Children. Epidemiology, Etiology, and Management

Perspectives in Pediatric Pathology, Chapter 19. Testicular Torsion, Testicular Appendix Torsion, and other Forms of Testicular Infarction

Contact Info

Product

Resources

About