ABSTRACT
Successful preservation of a testis that has undergone torsion is directly related to the duration and degree of torsion. From 1979 to 1991, 75 cases of testicular torsion were treated. Eleven orchiectomies were performed; operative detorsion was done in the other 64 cases, with concurrent orchiopexy of both testicles. Twenty-five patients were reexamined 1 to 12 years after the surgery. Age of torsion, duration of symptoms, and operative findings were reevaluated. Testicular volume was determined using Prader's orchidometer, a pachymeter, and ultrasonography. In four postpubertal patients, semen analysis was performed. According to clinical data, results of testicular atrophy correlated with duration of symptoms and operative findings. In all cases of surgical detorsion in which torsion lasted more than 24 hours and viability of the testis was questionable, subsequent atrophy was the rule.
Subject(s)
Spermatic Cord Torsion/surgery , Adolescent , Age Distribution , Atrophy , Child, Preschool , Follow-Up Studies , Humans , Infant , Infant, Newborn , Male , Orchiectomy , Spermatic Cord Torsion/diagnostic imaging , Spermatic Cord Torsion/pathology , Testis/diagnostic imaging , Testis/pathology , UltrasonographyABSTRACT
Four children with renal echinococcal cyst and associated liver involvement were treated in our clinic in the last 10 years. The diagnoses were suspected by ultrasonography and computed tomography and confirmed by the operative investigation that followed. One nephrectomy, one heminephrectomy and two cystectomies were performed. All children had uneventful recovery and they have not presented any recurrence so far. The value of the diagnostic modalities and the principles of the operative management are discussed.
Subject(s)
Echinococcosis/diagnostic imaging , Kidney Diseases/diagnostic imaging , Child , Child, Preschool , Combined Modality Therapy , Cystectomy , Echinococcosis/complications , Echinococcosis/surgery , Echinococcosis, Hepatic/complications , Echinococcosis, Hepatic/diagnostic imaging , Echinococcosis, Hepatic/surgery , Echinococcosis, Pulmonary/complications , Echinococcosis, Pulmonary/diagnostic imaging , Female , Greece , Hospitals, General , Humans , Kidney Diseases/complications , Kidney Diseases/surgery , Male , Mebendazole/administration & dosage , Mebendazole/therapeutic use , Nephrectomy , Radionuclide Imaging , Retrospective Studies , Tomography, X-Ray Computed , Ultrasonography , UrographyABSTRACT
An unusual case of duodenal obstruction in an infant with isolated levocardia is described. The following anatomic features were shown preoperatively: (1) duodenal obstruction; (2) right-sided stomach and spleen; (3) left-sided liver; (4) totally right-sided located colon in mirror image nonrotation; and (5) levocardia without any defect or dysfunction. The mentioned findings were verified intraoperatively and the cause of the duodenal obstruction was found to be an aberrant vessel. This case is a rare one regarding the lack of heart and spleen defects and the cause of duodenal obstruction. It also demonstrates the necessity of meticulous investigation and precise description of the anomaly and suggests individualization as far as the management of these cases is concerned.
