Unilateral testicular torsion in a neonate

Authors

DOI:

https://doi.org/10.15448/1980-6108.2023.1.44322

Keywords:

Testicular torsion, neonate, testicle, orchiectomy, orchiopexy

Abstract

A male neonate born at gestational age of 40 weeks was found to have an enlarged and darkened right hemiscrotum after birth. Left testicle was descended and normal. No clinical signs of distress were evident. A color Doppler ultrasound showed an absence of testicular blood flow, consistent with perinatal testicular torsion. The patient underwent a bilateral scrotal exploration through an  inguinal incision and a necrotic right testicle was found. A right orchiectomy and left orchiopexy were performed. Perinatal testicular torsion is a rare but severe condition. A high clinical suspicion is required since most of perinatal testicular torsion are intrauterine and can often be asymptomatic, only with localized findings of the affected testis. The management of perinatal testicular torsion is still controversial; however, the most consensual approach is a prompt testicle exploration with orchiectomy of the necrotic testicle and contralateral orchiopexy.

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Author Biographies

Sara Geitoeira, Tondela-Viseu Hospital Center, Viseu, Portugal.

Master’s Degree in Medicine from the School of Medicine and Biomedical Sciences from the University of Porto, in Porto, Portugal; Pediatrics Residency in Centro Hospitalar Tondela-Viseu in Viseu, Portugal.

Nadia Laezza, Pediatric Hospital – Hospital and University Center of Coimbra, Coimbra, Portugal.

Master’s Degree in Medicine from the Faculty of Medicine of the University of Coimbra, in Coimbra, Portugal; Pediatric Surgery Residency in Centro Hospitalar e Universitário de Coimbra, in Coimbra, Portugal. Pediatric Surgeon in Centro Hospitalar e Universitário de Coimbra.

Pedro Maneira Sousa, Tondela-Viseu Hospital Center, Viseu, Portugal.

Master Degree in Medicine from the Faculty of Medicine of the University of Coimbra, in Coimbra, Portugal; Pediatrics Residency in Centro Hospitalar Tondela-Viseu in Viseu, Portugal; Pediatrician at Centro Hospitalar Tondela-Viseu in Viseu, Portugal

Joana Pimenta, Tondela-Viseu Hospital Center, Viseu, Portugal.

Master’s Degree in Medicine from the Faculty of Medicine of the University of Coimbra, in Coimbra, Portugal; Pediatrics Residency in Centro Hospitalar TondelaViseu in Viseu, Portugal; Pediatrician at Centro Hospitalar Tondela-Viseu in Viseu, Portugal

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Published

2023-07-19

How to Cite

Geitoeira, S., Laezza, N., Maneira Sousa, P., & Pimenta, J. (2023). Unilateral testicular torsion in a neonate. Scientia Medica, 33(1), e44322. https://doi.org/10.15448/1980-6108.2023.1.44322

Issue

Vol. 33 No. 1 (2023): Single Volume - Continuous Flow of Publication

Section

Case Reports

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