Cardoza AJD, Cruz RY, Millán VLO

Language: Spanish
References: 12
Page: 50-53
PDF size: 341.62 Kb.

ABSTRACT

Perinatal testicular torsion is described as rotation of the spermatic cord resulting in decreased vascular flow and ischemia and can occur from the prenatal period until before the first month of life. Patients with testicular torsion usually present asymptomatic, probably because most cases occur prenatally and present fewer inflammatory symptoms. The percentage of testicular salvage is low, for this reason some authors do not recommend performing emergency surgery. Some surgeons even opt for conservative treatment, but this is known to increase the risk of infection, malignancy, and production of antibodies against the contralateral testicle. We present the case of a full-term newborn with color changes and increase in size of the left hemiscrotum in whom Doppler ultrasound corroborates a diagnosis of testicular torsion. Bilateral testicular surgical exploration was performed, finding the left testicle completely necrotic, so it was decided to perform left orchiectomy with contralateral orchidopexy due to the risk of testicular torsion at another time in the patient’s life.

REFERENCES

1. Kylat R, Ahmed M. Neonatal testicular torsion.African Journal of Paediatric Surgery. 2022; 19(1):

2. Djahangirian O, Ouimet A, Saint-Vil D. Timingand surgical management of neonatal testiculartorsions. Journal of Pediatric Surgery. 2010 May;45(5): 1012-5.

3. Kylat RI. Perinatal testicular torsion. Archives dePédiatrie. 2021 Jan; 28(1): 75-9.

4. Pakmanesh H, Alinejad M. A case of bilateralperinatal testicular torsion that presented withunilateral torsion; necessity of contralateral testisexploration. Türk Üroloji Dergisi/Turkish Journal ofUrology. 2018 Oct 8; 44(6): 511-4.

5. Abbas TO, Ali M. Bilateral neonatal testicular torsion;Hidden Surgical Nightmare. Front. Pediatr.

6. 6:318. doi: 10.2289/fped.2018.003186. Sozubir S, Barber T, Wang Y, Ahn C, Zhang S,Verma S, et al. Loss of Insl3: A potential predisposingfactor for testicular torsion. Journal of Urol-ogy. 2010 Jun; 183(6): 2373-9.

7. Feng S, Ferlin A, Truong A, Bathgate R, Wade JD,Corbett S, et al. INSL3/Rxfp2 signaling in testiculardescent. Annals of the New York Academy ofSciences. 2009 Apr; 1160(1): 197-204.

8. Hannan MA, Kawate N, Kubo Y, Pathirana IN,Büllesbach EE, Hatoya S, et al. Expression analysesof insulin-like peptide 3, RXFP2, LH receptor,and 3β-hydroxysteroid dehydrogenase in testesof normal and cryptorchid dogs. Theriogenology.2015 Oct; 84(7): 1176-84.

9. Monteilh C, Calixte R, Burjonrappa S. Controversiesin the management of neonatal testiculartorsion: A meta-analysis. Journal of Pediatric Surgery.2019 Apr;54(4):815–9.

10. Kaye JD, Shapiro EY, Levitt SB, Friedman SC,Gitlin J, Freyle J, et al. Parenchymal echo texturepredicts testicular salvage after torsion: Potentialimpact on the need for emergent exploration.Journal of Urology. 2008 Oct; 180(4S): 1733-6.

11. Djahangirian O, Ouimet A, Saint-Vil D. Timingand surgical management of neonatal testiculartorsions. Journal of Pediatric Surgery. 2010 May;45(5): 1012-5.

12. Abdelhalim A, Chamberlin JD, McAleer IM. A surveyof the current practice patterns of contralateraltestis fixation in unilateral testicular conditions.Urology. 2018 Jun; 116: 156-60.