Trauma-induced Testicular Torsion in Children

Cos, Louis R.; Rabinowitz, Ronald

doi:10.1097/00005373-198203000-00013

Cited by 25 publications

(5 citation statements)

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“…Vigorous exercise, local trauma, a powerful cremasteric reflex and sexual excitement are possible precipitating factors of TT [2,10]. Direct trauma was found in only 15% of the 20 TT cases, but in most cases no precipitating factors were elicited.…”

Section: Resultsmentioning

confidence: 98%

The Etiology of Acute Scrotal Swelling on Surgical Exploration among Children and Adolescents in Jahra

Grover¹,

Adib²,

Joseph³

et al. 1998

Med Princ Pract

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Objective: To describe the clinical presentation as well as the outcome of surgically explored acute scrotal swellings among children and adolescents recorded at the Al-Jahra Hospital, Kuwait during the period 1985–1995. Methods: Hospital records of 120 cases were reviewed. Results: Seventeen percent of the cases were found to be testicular torsions (TT) and 40% torsions of testicular appendages (TAT). Other etiologies included traumatic swelling (15%), idiopathic edema (13%), epididymo-orchitis (10%), hydroele (4%) and others (2%). Ages of patients ranged from 6 months to 18 years, averaging 9.3 years (SD = 2.9) for TAT cases and 10.1 years (SD = 6.4) for TT cases. Swelling and pain were located on the left side for 65% of the torsion cases. Direct trauma was reported in 22% of the torsion cases. In 90% of TT cases, orchidopexy was performed with success. Subsequent testicular atrophy occurred in only 1 patient who had symptoms for more than 48 h prior to surgery. Orchidectomy was directly performed on necrosed testes in a patient with signs lasting more than 48 h, and another patient with signs lasting 4 days. Conclusions: Primary health care physicians in Jahra district should continue to educate parents and adolescents to recognize the gravity of scrotal pain, and the importance of early response as a way of avoiding testicular necrosis.

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Section: Resultsmentioning

confidence: 98%

The Etiology of Acute Scrotal Swelling on Surgical Exploration among Children and Adolescents in Jahra

Grover¹,

Adib²,

Joseph³

et al. 1998

Med Princ Pract

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“…3,4 Posttraumatic torsion is usually intravaginal in nature. 5 The most common abnormality is a bell-clapper deformity wherein tunica vaginalis completely encircles the testis and is present in approximately 12% of the male population. Cremasteric muscle spasm in the presence of high investment of the tunica vaginalis is believed to cause a rotational effect on a freely mobile testis leading to posttraumatic torsion.…”

Section: Discussionmentioning

confidence: 99%

A Kick in the Groin

Kannikeswaran

Shah

Fichadia

et al. 2014

Clin Pediatr (Phila)

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“…Early orchidopexy can salvage 100% of these testes [94], but if surgery is delayed and multiple episodes occur, the testis becomes small and excessively mobile due to the anomaly of its suspensory structures (“bell clapper” deformity) [95,96]. In such testes, seminiferous tubules are devoid of spermatogonia and show various degrees of hyalinization [97].…”

Section: Histopathologymentioning

confidence: 99%

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

et al. 2016

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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.

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Trauma-induced Testicular Torsion in Children

Cited by 25 publications

References 0 publications

The Etiology of Acute Scrotal Swelling on Surgical Exploration among Children and Adolescents in Jahra

The Etiology of Acute Scrotal Swelling on Surgical Exploration among Children and Adolescents in Jahra

A Kick in the Groin

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

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