An unusual case of intra-abdominal testicular torsion: Role of laparoscopy

Papparella, Alfonso; Nino, Fabiano; Coppola, S.; Parmeggiani, Pio

doi:10.4103/0189-6725.109386

Cited by 8 publications

(10 citation statements)

References 6 publications

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“…The usual clinical presentation is that of abdominal pain. Only few patients presented with completely absent symptoms [3,4]. It is believed that asymptomatic vanishing testis is related to intra-uterine torsion [5].…”

Section: Discussionmentioning

confidence: 99%

Asymptomatic torsion of intra-abdominal testis

El-Gohary¹

2015

Journal of Pediatric Surgery Case Reports

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a b s t r a c tWe report a case of intra-abdominal testicular torsion, of eight years old boy who presented with asymptomatic left impalpable testis. Diagnostic laparoscopy revealed a twisted small intra-abdominal testis in which the spermatic cord twisted 3 times over a band attached to the internal ring. The cord was long enough to bring the small testis into the scrotal sac. This case highlights the pole of laparoscopy in the management of impalpable testes.

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Section: Discussionmentioning

confidence: 99%

Asymptomatic torsion of intra-abdominal testis

El-Gohary¹

2015

Journal of Pediatric Surgery Case Reports

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“…Furthermore, it is highly recommended to combine orchiopexy with other surgical procedures (orthopedic, etc.). We should also bear in mind the possibility of intra-abdominal testicular torsion (32)(33)(34). Usually, the most common symptom is abdominal pain.…”

Section: Discussionmentioning

confidence: 99%

Is testicular torsion a real problem in pediatric patients with cryptorchidism?

Komarowska

Pawelczyk

Matuszczak

et al. 2020

Preprint

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PurposeTo present management and outcomes of patients with cryptorchidism suffering from testicular torsion.MethodsThis is a retrospective review of pediatric patients with torsion of undescended testes, who were treated between 2009 and 2019. On the medical charts, we recorded: the age, symptoms, duration of torsion, physical examination, surgery findings, and additional treatment.ResultsWe identified 9 boys with torsion of the undescended gonad, which represented 4.7% of all 192 boys with testicular torsion. The mean age of boys with torsion of undescended testis was 8.7 years. The mean duration of symptoms in our study group was long and it was up to 28.5 hours. All patients had inguinal canal exploration. In 8 cases, testicular necrosis and primary orchidectomy was performed.ConclusionAccording to clinical experience and available studies, torsion of male undescended gonads is a comparatively rare condition. Nevertheless, diagnosis is still delayed and connected with inevitable orchidectomy.Plain English summaryAuthors present 9 cases of boys with torsion of undescended testes. They represented 4.7% of all boys with testicular torsion treated during 10 years in Pediatric Surgery Department. The mean age of boys with torsion of undescended testis was 8.7 years. The mean duration of symptoms was long and it was up to 28.5 hours. All patients were operated on, in 8 cases necrotic testicle was removed. Even though torsion of undescended testicle is quite rare, diagnosis is delayed and because of that, boys are subjected to removal of the testicle.

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“…Few cases have been described in the literature to date, and the true impact of this entity remains poorly understood [9][10][11]. Gerster was the rst author to report a similar case in 1898 [8,12,13]. An intra-abdominal testis has a greater risk of torsion than that which is normally descended, because of lack of anatomical attachment structures, the absence of gubernaculum, the size of the spermatic cord which is not in adequacy with the size of the testicle which is o en atrophic [2,10].…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, in the proportion of impalpable testes (20%), 50-60% are intra-abdominal [1,3]. Intraabdominal testicular torsion is a rare surgical emergency involving the functional prognosis of the testis [6,8]. It is manifested by an atypical clinical picture dominated by an abdominal symptomology which is a source of diagnostic delay [2,9,10].…”

Section: Introductionmentioning

confidence: 99%

Acute Abdomen Revealing an Unusual Case of Intra-Abdominal Testicular Torsion

Halidou

Roua

Magagi

et al. 2019

Case Reports in Urology

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Introduction. Intra-abdominal testicular torsion is a rare event. We report hereby our experience of the management of a spermatic cord twist on intra-abdominal testis discovered during an acute surgical abdomen. Case Presentation. This was a 42-year-old patient admitted to the emergency department for abdominal pain that had been evolving for a week. The physical examination showed tenderness and guarding in the left iliac fossa with an empty ipsilateral hemiscrotum. Complementary examinations led to the discovery of an intra-abdominal left-lateral mass. The laparotomy found a whitish mass with areas of infarction, which was resected. Anatomopathological examination of the operative specimen identified it as a testis with atrophy of germ cells and necrotic areas without evidence of malignancy. Conclusion. Intra-abdominal testicular torsion should be considered in case of patients with an acute surgical abdomen with vacuity of one of the bursae.

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An unusual case of intra-abdominal testicular torsion: Role of laparoscopy

Cited by 8 publications

References 6 publications

Asymptomatic torsion of intra-abdominal testis

Asymptomatic torsion of intra-abdominal testis

Is testicular torsion a real problem in pediatric patients with cryptorchidism?

Acute Abdomen Revealing an Unusual Case of Intra-Abdominal Testicular Torsion

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