Testicular torsion in a patient with Ehlers-Danlos syndrome

Abstract

We present a 19-year-old man with a diagnosis of Ehlers-Danlos syndrome (EDS) and a delayed presentation of testicular torsion. EDS is a rare and heterogeneous condition affecting collagen synthesis and presents multiple difficulties in a surgical setting. Management of this case of testicular torsion was complicated by impaired cognition of the patient, difficulty with intubation, a contralateral undescended testis and postoperative bleeding. We discuss the specific challenges faced in this case of testicular torsion with longstanding ischaemia and perioperative considerations of EDS.

Urogenital and pelvic complications in the Ehlers‐Danlos syndromes and associated hypermobility spectrum disorders: A scoping review

“…Table summarizes the design and publication date characteristics of the 105 included studies . Studies consisted of case reports/series (N = 62, 60%) and observational studies (N = 43, 40%), including cross sectional (N = 29), case‐controlled (N = 12), and cohort (N = 2) designs.…”

Appendiceal torsion in Ehlers-Danlos syndrome: A case report of a rare phenomenon in a rare disease

“…As with our patient, preoperative radiological imaging is generally unrevealing, and this condition is often diagnosed during the operation. While there have been no reported cases of appendiceal torsion in EDS patients, there have been reported cases of stomach and testicular torsion [ 8 , 9 ]. Similar to skin hyperelasticity and joint hyperlaxity, ligamentous laxity seen in EDS may make these patients more prone to torsion of abdominal organs.…”