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Prenatal bilateral extravaginal testicular torsion--a case presentation
Mathew D Sorensen1, Stanley H Galansky, Amanda M Striegl
1University of Colorado Health Sciences Center, Denver, CO, USA. mathews@u.washington.edu
Pediatric Surgery International
|October 2, 2004
Summary
Bilateral testicular torsion in a newborn required surgery. One testicle was removed, while the other was saved, showing good blood flow at six months.
Area of Science:
- Neonatal surgery
- Pediatric urology
- Emergency medicine
Background:
- Neonatal testicular torsion is a rare surgical emergency.
- Prompt diagnosis and intervention are crucial for testicular salvage.
Observation:
- A newborn male presented with clinical signs of bilateral testicular torsion.
- Preoperative ultrasound revealed absent blood flow in both testicles.
Findings:
- Surgical exploration confirmed bilateral extravaginal testicular torsion.
- Right testicle was necrotic and removed (orchidectomy).
- Left testicle underwent detorsion and fixation (orchidopexy) due to indeterminate viability.
Implications:
- Successful salvage of a viable testicle is possible even with delayed intervention.
- Orchidopexy can preserve testicular function in select cases of neonatal torsion.
- This case highlights the importance of timely surgical management in suspected neonatal testicular torsion.