Torsion of an intra-abdominal testis

Testicular Torsion in the Left Inguinal Canal in a Patient with Inguinal Hernia: A Difficult Case to Diagnose

“…Sometimes it could be difficult to differentiate this event from inflammatory diseases of the testes. Differential diagnosis could even be more difficult in undescended testis which is an uncommon cause of inguinal swelling in children (2,3). We report here a case of torsion within the left inguinal canal, and discuss the diagnostic evaluation.…”

An unusual case of intra-abdominal testicular torsion: Role of laparoscopy

“…Any event that modifies this multi-factorial model can induce cryptorchidism and arrest testicular descent. [3] In our case, the testicle, which was intra-abdominal located, was characterised by the absence of gubernaculum with the internal inguinal ring closed and a laxity of the spermatic vessels that were several times twisted. In our experience, the intra-abdominal testes located at the inlet or deep in the pelvis present this feature and usually a closed ipsilatel internal inguinal ring; furthermore, it's possible to observe a raising and laxity of the spermatic vessels from the posterior retroperitoneal floor.…”

“…The presence of a neoplasia does predispose to testicular torsion, but the potential effect of ischaemia on tumour regression or progression has not been established. [10] Therefore, the risk of neoplasia for an intra-abdominal testis and the ischaemia related to torsion emphasizes the value of There are multiple theories surrounding the phenomenon of testicular descent, where physical and endocrine factors are important, [3] such as gonadotropin production and androgen synthesis. It is also well known that gubernaculum testis is mechanically involved in the descent of the testis as well as hormonal target.…”

“…Generally, a twisted intra-abdominal testis is recognised as an emergency in young men, and is associated in most cases with abdominal pain and is often related to malignant degeneration. [3] Laparoscopy has been largely used in the diagnosis, surgical evaluation and treatment of impalpable testis. [4] The role of diagnostic tools such as ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI) have been discussed in localising a non palpable testis and it has been associated to false positive and low sensitivity rate.…”

Torsion of an Undescended Testis Located in the Inguinal Canal

“…A less-common diagnosis is torsion of an undescended testicle. Very few cases of torsion within the inguinal canal have ever been reported (1)(2)(3). The goal of this article is to present the case of a 5-year-old boy with torsion of an undescended testis that was found within the inguinal canal.…”