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Bilateral asynchronous perinatal testicular torsion: a case report
M Olguner1, F M Akgür, T Aktuğ
1Department of Pediatric Surgery, Dokuz Eylül University Medical School, Izmir, Turkey.
Journal of Pediatric Surgery
|September 22, 2000
Summary
Bilateral perinatal testicular torsion (PTT) is rare but an emergency. Early surgery is recommended to prevent anorchia and contralateral torsion, even in unilateral cases.
Area of Science:
- Neonatal surgery
- Pediatric urology
- Emergency medicine
Background:
- Bilateral perinatal testicular torsion (PTT) is exceptionally rare.
- Prompt diagnosis and intervention are crucial in neonates.
Observation:
- A 28-hour-old male presented with right scrotal erythema and swelling, and left hydrocele.
- Prenatal ultrasound detected a right hydrocele at 34 weeks gestation.
- Scrotal symptoms were unilateral, but scintigraphy revealed bilateral testicular hypoperfusion.
Findings:
- Emergency surgery confirmed right testicular necrosis requiring removal.
- The left testis was viable and treated with detorsion.
- This case highlights asynchronous bilateral PTT, a rare presentation.
Implications:
- Bilateral PTT in neonates is a surgical emergency due to the risk of anorchia.
- Early surgical intervention is recommended for unilateral PTT to mitigate contralateral torsion risk.
- The study advocates for prompt surgical management over delayed approaches in suspected PTT.