Testicular Torsion Masked by Painful Abdomen

Santos, Mariana; Köhl, Michael

doi:10.3238/arztebl.2013.0041b

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“…An external examination of the genitals can often reveal swelling or erythema of the scrotum and testicle, testicular tenderness, or a horizontal testicle, and the cremasteric reflex may be absent. Santos and Kohl [8] recommended that a mandatory genital examination should be conducted in the clinical assessment of boys with abdominal pain.…”

Section: Discussionmentioning

confidence: 99%

Clinical evaluation of testicular torsion presenting with acute abdominal pain in young males

Wang

2019

Asian Journal of Urology

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ObjectiveTo evaluate the features of testicular torsion presenting with acute abdominal pain and to raise awareness of testicular torsion with specific symptoms.MethodsFrom October 2005 to June 2016, nine patients with testicular torsion who presented with isolated acute abdominal pain rather than scrotal pain as their primary symptom were retrospectively reviewed. Data, including the age of patients, season at admission, initial medical history, external genital examination, emergency ultrasound findings, operative findings, duration of abdominal pain, complications, and follow-up results, were collected.ResultsThe average age of patients was 14 years (range 10–17 years). Seven patients whose genitals were not initially examined externally were misdiagnosed as having ordinary abdominal diseases. Surgical exploration revealed that all the involved testes necrotized, and orchidectomy was performed. In the other two patients, scrotal and testicular abnormalities were detected immediately on admission, and emergency surgical exploration determined that the involved testis remained vital, so orchiopexy was performed. The mean duration from symptom onset to diagnosis was 4 h (3–5 h) in the orchiopexy group and 37 h (18–72 h) in the orchidectomy group. Six patients were psychologically affected during postoperative follow-up. Neither recurrence of testicular torsion nor testicular atrophy was recorded.ConclusionAcute abdominal pain can be the initial and sole symptom of testicular torsion in young males. Physicians should pay close attention to the specific clinical presentation of testicular torsion.

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Section: Discussionmentioning

confidence: 99%

Clinical evaluation of testicular torsion presenting with acute abdominal pain in young males

Wang

2019

Asian Journal of Urology

View full text Add to dashboard Cite

show abstract

Testicular Torsion Masked by Painful Abdomen

Cited by 1 publication

References 4 publications

Clinical evaluation of testicular torsion presenting with acute abdominal pain in young males

Clinical evaluation of testicular torsion presenting with acute abdominal pain in young males

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