Unilateral testicular torsion in a neonate

Detalhes bibliográficos
Autor(a) principal: Geitoeira, Sara
Data de Publicação: 2023
Outros Autores: Laezza, Nadia, Maneira Sousa, Pedro, Pimenta, Joana
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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spelling 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
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