RESUMO
On the basis of 34 cases of the torsion of the appendix testis, the authors describe the clinical symptoms and the differential diagnosis compared with other cases of the acute scrotum. The diagnostic value of the "button symptom", of Doppler sonography, scintigraphy, as well as the indication of early surgical intervention is discussed.
Assuntos
Cistos/cirurgia , Ductos Paramesonéfricos/cirurgia , Torção do Cordão Espermático/cirurgia , Doenças Testiculares/cirurgia , Adolescente , Criança , Pré-Escolar , Cistos/patologia , Diagnóstico Diferencial , Humanos , Masculino , Ductos Paramesonéfricos/patologia , Torção do Cordão Espermático/patologia , Doenças Testiculares/patologiaRESUMO
Fractures of the cranial basis in the anterior cranial fossa accounted in a ten-year period in the material of the authors for 2.6% of cranial traumas and 24.6% of cranial basis fractures. In the observed cases rhinorrhoea was present in only 16% of cases. Purulent meningitis as a complication was observed in only 1.8% of cases and only late after the trauma. In view of the low frequency of inflammatory complications evidencing a considerable tendency for spontaneous healing of fistulas the authors suggest restriction of indications to surgical treatment in early period after trauma to cases with visible wide fissure in the fractures bone, displacement of fractured fragments and their position at different levels.