Scrotal Swelling in the Neonate

Basta, Amaya M.; Courtier, Jesse; Phelps, Andrew; Copp, Hillary L.; MacKenzie, J. D.

doi:10.7863/ultra.34.3.495

Cited by 28 publications

(13 citation statements)

References 36 publications

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“…In our cases, the incidence of UDT torsion in UDT was 0.75% (6/800), and 2 cases were neonates. About 10% of testicular torsion occurs in newborns and even in prenatal and perinatal periods [6]. Because it is not easy to confirm the position of UDT, the diseased testis may disappear due to the ischemic necrosis and is misdiagnosed.…”

Section: Discussionmentioning

confidence: 99%

Children with Cryptorchidism Complicated by Testicular Torsion: A Case Series

et al. 2018

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Objective: To investigate the clinical features, diagnosis, treatment and prognosis of children with cryptorchidism complicated by testicular torsion. Methods: The clinical data of 6 children with cryptorchidism complicated by testicular torsion admitted to our hospital from December 2000 to December 2016 were analyzed retrospectively. Results: All 6 children were diagnosed with cryptorchidism by surgery, their age was from 12 days up to 11 years, and the average time between onset of symptoms and diagnosis was 20.5 h. Torsion testis was located in the groin area and the rate of left to right was about 2:1. Twist was 600° on average. All children were admitted because of the inconsolable cry, abdominal pain, and the swelling of the groin. Three patients underwent orchidectomy, while the other 3 patients underwent detorsion and cryptorchidopexy. Color Doppler ultrasound examination showed normal testes at 6 months after operation. Only 1 case was diagnosed with cryptorchidism after birth. Conclusions: Cryptorchidism is an emergency in pediatric urology and often leads to a low testicular salvage rate, especially in infants, due to lack of knowledge, delayed diagnosis, and late treatment. Neonatal genital examination is important for the early diagnosis and management of cryptorchidism.

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Section: Discussionmentioning

confidence: 99%

Children with Cryptorchidism Complicated by Testicular Torsion: A Case Series

et al. 2018

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“…Intratesticular causes include testicular torsion, neoplasm, and supernumerary testis, whereas extratesticular causes include hematoma, hydrocele, inguinal hernia, and extension of systemic disease [7]. Torsion of the appendix testis in neonates is extremely rare.…”

Section: Discussionmentioning

confidence: 99%

Torsion of the Appendix Testis in a Neonate

Krishnan

Rich

Swana

2016

Case Reports in Urology

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Torsion of the appendix testis is a rare cause of scrotal swelling in the neonatal period. We present a case of torsion of the appendix testis in a one-day-old male. We discuss the physical examination and radiologic studies used to make the diagnosis. Nonoperative therapy was recommended and the patient has done well. Recognition of this condition in the neonatal period can prevent surgical intervention and its associated risks.

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“…It usually occurs unilaterally. But 11–21% cases occur bilaterally 2,3 . The clinical pictures vary, from an absent or a nubbin testis at birth to a painful enlarged, bluish or reddish hemiscrotum 4 .…”

Section: Figmentioning

confidence: 99%

Perinatal testicular torsion presented as neonatal scrotal swelling

Liao

Chou

Lin

2020

Pediatrics International

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pericardial biopsy showed only minimal lymphocyte infiltration. To diagnose her disease, a lymph-node biopsy was performed from the right inguinal lymph node on the sixth day after admission, which led to a diagnosis of anaplastic lymphoma kinase-positive ALCL. Chemotherapy was started at 16 days after hospitalization, and the pericardial effusion disappeared on the second day after the chemotherapy. This case indicated that some pediatric patients with cardiac tamponade may present with no mass around the heart and a false-negative result for pericardial effusion and pericardial pathology. The frequency of pericardial effusions in pediatric patients with ALCL is 3%. 1 Cardiac tamponade has been reported in a small number of pediatric patients with lymphoma, most of which were associated with a mediastinal mass. 2 Only one pediatric lymphoma patient with cardiac tamponade but without an accompanying cardiac mass has been reported. 3 It was reported that the diagnosis of lymphoma was obtained via skin biopsy, not from specimens of the cells from the pericardial effusion and pericardium. Similarly, in our case, the pathological analysis of cells from the pericardial effusion and pericardium could not reveal the cause of the disease. The eventual diagnosis of ALCL was based on a biopsy specimen from the right inguinal lymph node. It was suggested that the cytology of pericardial effusion due to malignancy could be a false-negative result. 4 One reason for a pericardial effusion without direct invasion could be a lymphatic obstruction by malignancy. 5 In patients with cardiac tamponade, therefore, biopsy from the primary lesion or lymph node might be required at an early stage in suspected lymphoma, if a diagnosis cannot be made from the cytology of the pericardial effusion. It is important to consider the possibility of malignancy in pediatric patients with cardiac tamponade, even if there is no mass around the heart and an initial negative result for pericardial effusion and pericardial pathology. Informed consent was obtained from the patient's parents for publication of this report.

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Scrotal Swelling in the Neonate

Cited by 28 publications

References 36 publications

Children with Cryptorchidism Complicated by Testicular Torsion: A Case Series

Children with Cryptorchidism Complicated by Testicular Torsion: A Case Series

Torsion of the Appendix Testis in a Neonate

Perinatal testicular torsion presented as neonatal scrotal swelling

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