Bilateral testicular torsion in an adolescent: a case with challenging diagnosis
Int. braz. j. urol
;
44(2): 393-396, Mar.-Apr. 2018. graf
Article
in English
| LILACS
| ID: biblio-892973
ABSTRACT
ABSTRACT Bilateral testicular torsion is a very uncommon emergency, with a challenging differential diagnosis. We describe the case of a 15-year-old patient with a left testicular torsion of 48 hours of duration and a sudden onset of right scrotum pain during his stay at the emergency area. Bilateral testicular torsion was diagnosed after repeat physical examination and doppler ultrasound, which had been normal for right testis in a first evaluation. Surgical exploration was performed with orchiectomy in left testis and fixation in right testis. In previous literature, there are reported bilateral torsion only in four adolescents and five adults. With this case, we demonstrate that bilateral spermatic cord torsion may be easily overlooked in a patient with acute scrotum and we emphasize the importance of bilateral exploration in testicular torsion.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Spermatic Cord Torsion
Type of study:
Diagnostic study
Limits:
Adolescent
/
Humans
/
Male
Language:
English
Journal:
Int. braz. j. urol
Journal subject:
Urology
Year:
2018
Type:
Article
Affiliation country:
Spain
Institution/Affiliation country:
Hospital Universitario y Politécnico La Fe/ES
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