Unilateral testicular torsion in a neonate
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Scientia Medica (Porto Alegre. Online) |
Texto Completo: | https://revistaseletronicas.pucrs.br/scientiamedica/article/view/44322 |
Resumo: | 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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Unilateral testicular torsion in a neonateTorsão testicular unilateral em neonatoTesticular torsionneonatetesticleorchiectomyorchiopexytorção testicularrecém-nascidotestículoorquidectomiaorquidopexiaA 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.Recém-nascido do sexo masculino com idade gestacional de 40 semanas, com edema e escurecimento cutâneo do hemiescroto direito constatados após o nascimento. O testículo esquerdo era palpável na bolsa escrotal e não apresentava alterações. A ecografia escrotal com Doppler revelou ausência de fluxo vascular no testículo direito, achado compatível com torção testicular perinatal. O doente foi submetido a exploração escrotal bilateral através de abordagem por via inguinal, tendo sido confirmada a necrose do testículo direito. Foi realizada orquidectomia direita e orquidopexia esquerda. A torção testicular perinatal corresponde a uma patologia rara, mas com possíveis consequências graves. O seu diagnóstico requer elevada suspeição clínica, uma vez que a maioria dos casos ocorre no período pré-natal, podendo ser assintomáticos após o nascimento e manifestar-se com alterações localizadas ao testículo afetado. A abordagem da torção testicular perinatal é ainda controversa, sendo mais consensual uma exploração escrotal célere com orquidectomia do testículo necrosado e orquidopexia contralateral.Editora da PUCRS - ediPUCRS2023-07-19info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRelato de caso raro ou de especial interesseapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/4432210.15448/1980-6108.2023.1.44322Scientia Medica; Vol. 33 No. 1 (2023): Single Volume - Continuous Flow of Publication; e44322Scientia Medica; v. 33 n. 1 (2023): Volume Único - Fluxo Contínuo de Publicação; e443221980-61081806-556210.15448/1980-6108.2023.1reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSenghttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/44322/28045Copyright (c) 2023 Scientia Medicahttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGeitoeira, SaraLaezza, NadiaManeira Sousa, PedroPimenta, Joana2023-08-23T13:35:21Zoai:ojs.revistaseletronicas.pucrs.br:article/44322Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2023-08-23T13:35:21Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.none.fl_str_mv |
Unilateral testicular torsion in a neonate Torsão testicular unilateral em neonato |
title |
Unilateral testicular torsion in a neonate |
spellingShingle |
Unilateral testicular torsion in a neonate Geitoeira, Sara Testicular torsion neonate testicle orchiectomy orchiopexy torção testicular recém-nascido testículo orquidectomia orquidopexia |
title_short |
Unilateral testicular torsion in a neonate |
title_full |
Unilateral testicular torsion in a neonate |
title_fullStr |
Unilateral testicular torsion in a neonate |
title_full_unstemmed |
Unilateral testicular torsion in a neonate |
title_sort |
Unilateral testicular torsion in a neonate |
author |
Geitoeira, Sara |
author_facet |
Geitoeira, Sara Laezza, Nadia Maneira Sousa, Pedro Pimenta, Joana |
author_role |
author |
author2 |
Laezza, Nadia Maneira Sousa, Pedro Pimenta, Joana |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Geitoeira, Sara Laezza, Nadia Maneira Sousa, Pedro Pimenta, Joana |
dc.subject.por.fl_str_mv |
Testicular torsion neonate testicle orchiectomy orchiopexy torção testicular recém-nascido testículo orquidectomia orquidopexia |
topic |
Testicular torsion neonate testicle orchiectomy orchiopexy torção testicular recém-nascido testículo orquidectomia orquidopexia |
description |
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. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-07-19 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Relato de caso raro ou de especial interesse |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/44322 10.15448/1980-6108.2023.1.44322 |
url |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/44322 |
identifier_str_mv |
10.15448/1980-6108.2023.1.44322 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/44322/28045 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2023 Scientia Medica http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2023 Scientia Medica http://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
publisher.none.fl_str_mv |
Editora da PUCRS - ediPUCRS |
dc.source.none.fl_str_mv |
Scientia Medica; Vol. 33 No. 1 (2023): Single Volume - Continuous Flow of Publication; e44322 Scientia Medica; v. 33 n. 1 (2023): Volume Único - Fluxo Contínuo de Publicação; e44322 1980-6108 1806-5562 10.15448/1980-6108.2023.1 reponame:Scientia Medica (Porto Alegre. Online) instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) instacron:PUC_RS |
instname_str |
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
instacron_str |
PUC_RS |
institution |
PUC_RS |
reponame_str |
Scientia Medica (Porto Alegre. Online) |
collection |
Scientia Medica (Porto Alegre. Online) |
repository.name.fl_str_mv |
Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS) |
repository.mail.fl_str_mv |
scientiamedica@pucrs.br || editora.periodicos@pucrs.br |
_version_ |
1809101752574672896 |