Testicular Torsion in Cerebral Palsy – Resident’s Grey Area

Abstract

The association of testicular torsion and cerebral palsy is a well-known fact. But the infrequent presentation to emergency room makes the clinician sceptical. Such a presentation often puzzles the residents regarding the diagnosis and the treatment. Here we present a case of an adolescent boy aged with cerebral palsy 13 years with incessant crying and not feeding well for last 3days. Right inguinal region showed a tender globular swelling with absence of testis in scrotum along with signs of septicaemia. The inguinal exploration was performed under general anaesthesia which revealed gangrenous right testis. Right orchidectomy and left orchidopexy was performed and the patient recovered well. This case is reported for its complexity due to lack of reliable history, delayed presentation and associated comorbidities posing challenges to the treating surgeons.

Optimal Management of Undescended Testis in Boys with Cerebral Palsy. A Debate

“…UDT is a risk factor for testicular torsion, which is probably underestimated [Singal et al, 2013]. In CP boys the problem is even more difficult since communication may be impaired [Ghalige et al, 2014].…”

Testicular torsion in a patient with Ehlers-Danlos syndrome

“…The condition can mimic epididymo-orchitis, especially when longstanding 10. There should be a high degree of clinical suspicion, particularly in connective tissue disorders where integrity of fascial layers is poor, leading to poor intravaginal fixation of the testis.…”