Acute Scrotum in Children

Yang, Chao; Song, Bin; Liu, Xing; Wei, Guanghui; Lin, Tao; He, Dawei

doi:10.1097/pec.0b013e318213144e

Cited by 63 publications

(30 citation statements)

References 20 publications

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“…Various studies have shown that the leukocyte count is increased in patients with the diagnosis of testis torsion; it serves as an indicator of the inflammatory response. 6 A study in rats showed that testis torsion leads to an increased leukocyte count within the muscular tissue of the cremaster muscle, which surrounds the testicular tissue; moreover, that study showed deteriorating hypoxia, reduced microperfusion, and reduced capillary vessel function. 7…”

Section: Discussionmentioning

confidence: 99%

Predictive value of hematological parameters in testicular torsion: retrospective investigation of data from a high-volume tertiary care center

Yücel¹,

İlbey²

2018

J Int Med Res

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Objective To investigate the use of hematological parameters in the differential diagnosis of testis torsion and epididymo-orchitis, and to determine the predictive value of these parameters in the diagnosis of testis torsion. Methods This study retrospectively reviewed the medical data of patients who presented to our institute with the complaint of acute scrotal pain. Eighty-five patients who had undergone orchiectomy or surgical detorsion due to testis torsion and 72 patients with epididymo-orchitis were included in the study. The control group comprised 78 healthy males. The groups were compared with respect to age, hematological parameters, neutrophil to lymphocyte ratio (NLR), monocyte to eosinophil ratio (MER), and platelet to lymphocyte ratio (PLR). Results The monocyte count significantly differed between testis torsion and epididymo-orchitis, and was useful in the differential diagnosis. The mean neutrophil, platelet, and white blood cell counts, and the NLR, MER, and PLR values in the control group were significantly lower than those in the torsion and epididymo-orchitis groups. Conclusion The sensitivity and specificity of NLR in predicting testis torsion were as high as the sensitivity and specificity of doppler ultrasonography, suggesting the possible use of this parameter in the diagnosis of testis torsion.

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Section: Discussionmentioning

confidence: 99%

Predictive value of hematological parameters in testicular torsion: retrospective investigation of data from a high-volume tertiary care center

Yücel¹,

İlbey²

2018

J Int Med Res

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“…Modem ultrasound examination of the scrotum is an indispensable imaging modality for the clinical assessment of patients with acute scrotal pathology and yields high accuracy compared with surgical exploration. A key component of the testicular examination is use of power and spectral Doppler ultrasonography [32]. We should mention that the greatest limitation of our study was the incapablity of utilizing Doppler ultrasonography for all of the patients during the approach to diagnosis.…”

Section: Discussionmentioning

confidence: 93%

Clinical Findings of Patients Undergone Surgery for Testicular Torsion: A 12-Year Single Center Experience in Northern Iran

Shafi¹,

Zarghami²,

Aliramaji³

et al. 2014

OJU

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Introduction: Testicular torsion is a surgical emergency which requires early diagnosis and prompt surgical management to avoid testicular damage. The aim of this study is to survey the clinical findings and outcome of the patients treated for testicular torsion in a university hospital in Babol, northern Iran. Methods: In this cross sectional study, a retrospective survey of all cases presenting with acute scrotum and primarily diagnosed as testicular torsion was conducted during 2001 and 2012 in Babol, northern Iran. All 103 cases were reviewed and several clinical data, including duration of symptoms and operative findings were collected. Findings: Of 103 patients who presented to the emergency department with acute scrotum, the median age of the cases was 16.0 years. Thirty four percent of the patients presented emergency unit less than 6 hours from symptom exposure. Pain (95.1%) was the major symptom in all patients. Surgery revealed that 72 (70.9%) cases were diagnosed firmly as testicular torsion that 23 patients underwent orchidectomy for a necrotic torsed testis. There were significant differences between orchiectomized versus non-orchiectomized torsion cases in affected side, symptom presentation to operation time. Conclusion: According to our results more than half of the cases presented more than in the golden time. Late presentation to hospital was the major cause of delay leading to orchidectomy in patients with testicular torsion. Greater effort in health education and direct or selfreferal to hospital may reduce this delay.

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“…In children, an acute scrotal pain and swelling is a common reason for surgical consultation in the emergency department [ 1 ], and usually requires an exploratory surgery despite sonographic imaging findings [ 2 ]. Etiology of an acute scrotum has been reported to be torsion of the appendix in 70%, testicular torsion in 12% and epididymoorchitis in 11% [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

“…Acute scrotal swelling with pain in children is a common entity that requires accurate evaluation followed by an appropriate management. Although most causes of an acute scrotum are non-emergent, some presentations may result in rapid loss of a testis if not diagnosed and managed in a timely measure [ 1 ]. The omental incarceration in an inguinal hernia in children is exceptional and very often remains an operative diagnosis despite progress of imaging in diagnosis of testicular pathology.…”

Section: Introductionmentioning

confidence: 99%

Unusual cause of acute scrotum in children: a case report

Idrissa

Oukhouya

Tazi

et al. 2017

Journal of Surgical Case Reports

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A 13-year-old boy was presented in the pediatric emergency with a 2-week history of swelling of the right scrotal contents of simple evolution, which was worsened by the appearance of an acute scrotal pain 48 h prior to his consultation. The doppler ultrasound and computed tomography (CT) scan revealed an incarceration of the omentum in an inguinal hernia. Acute scrotal pain and swelling is a common reason for surgical consultation in the emergency department of children. However, omentum is a rare content of inguinal hernia in children and infarct is exceptional. It should be included in the differential diagnosis of an acute scrotum.

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Acute Scrotum in Children

Cited by 63 publications

References 20 publications

Predictive value of hematological parameters in testicular torsion: retrospective investigation of data from a high-volume tertiary care center

Predictive value of hematological parameters in testicular torsion: retrospective investigation of data from a high-volume tertiary care center

Clinical Findings of Patients Undergone Surgery for Testicular Torsion: A 12-Year Single Center Experience in Northern Iran

Unusual cause of acute scrotum in children: a case report

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