Clinical features of testicular torsion and epididymo-orchitis in infants younger than 3 months

Chiang, Ming-Chou; Chen, Hsiao‐Wen; Fu, Ren-Huei; Lien, Reyin; Wang, Ta-Min; Hsu, Jen‐Fu

doi:10.1016/j.jpedsurg.2007.04.020

Cited by 35 publications

(21 citation statements)

References 17 publications

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“…Testicular torsion will lead to vascular compromise of the testes if blood flow is not restored in time. 3 There is typically a progressive decrease in testicular volume due to atrophic change, and a small scrotum with disappearance of the testis on the affected side. 4 In the literature, there has been no report mentioning cystic degeneration of the testis after testicular torsion.…”

Section: Introductionmentioning

confidence: 99%

Scrotal cystic mass as a late presentation of neonatal testicular torsion

Tan

Tseng

Lai

et al. 2012

Formosan Journal of Surgery

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We present the case of a 1-year-old boy who had had a right scrotal enlargement for 9 months. He experienced a sudden onset of right scrotal enlargement and irritability at 3 months of age. No testis but hydrocele was identified at 5 months by sonography at another hospital. On admission, an elastic mass in the right scrotum measuring 3 cm Â 2 cm Â 2 cm was noted. Sonography showed a cystic, thick-walled mass, wherein no testis was identified. Magnetic resonance imaging failed to reveal his right testis along the descending route of the right testicle. During the operation, the mass was found to be cystic with a thick wall, and the cyst contained a yellowish clear fluid. The spermatic cord was connected to the mass and the junction between the two was constricted. The pathology of the cyst wall revealed atrophic testicular tissues, including stromal fibrosis and small tubules that were focally filled with small cuboidal cells. The atrophic cystic change in the testis in this case was considered to be due to previous testicular torsion. Late-stage cystic change after testicular torsion must be rare as a late presentation because it has never been reported in the literature.

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Section: Introductionmentioning

confidence: 99%

Scrotal cystic mass as a late presentation of neonatal testicular torsion

Tan

Tseng

Lai

et al. 2012

Formosan Journal of Surgery

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“…Epididymoorchitis is rare in the neonatal period [1,2]. Neonatal epididymitis/EO most commonly occurs secondary to hematogenous spread of an infection or as an extension from a urinary tract infection.…”

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“…Neonatal epididymitis/EO most commonly occurs secondary to hematogenous spread of an infection or as an extension from a urinary tract infection. Associated anomalies of the urogenital tract may be present [1,3]. Most cases of EO are believed to be viral in etiology [3,4].…”

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confidence: 99%

“…Most cases of EO are believed to be viral in etiology [3,4]. There have been a few reported cases due to bacteria [1,4,5]. Ultrasonography with Doppler is the preferred diagnostic Fig.…”

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confidence: 99%

“…1 Erythematous right hemiscrotal swelling modality to differentiate EO from testicular torsion [1]. While certain authors suggest mandatory imaging of the urinary tract (VCUG) in all cases of EO [1], others recommend it more sparingly [3]. Treatment of EO/ pyocele is with appropriate antibiotics, it may sometimes require surgical intervention.…”

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confidence: 99%

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