Torsion of the spermatic cord constitutes a surgical emergency. Testicular torsion is a highly disastrous complication if it is not corrected in a short time, and the solution that avoids the loss of the affected testicle is immediate surgical exploration. Testicular torsion is cause of sudden unilateral scrotal pain in 1642% of boys. Translate texts with the worlds best machine translation technology, developed by the creators of linguee. Testicle, testicular torsion, acute scrotal syndrome. Torsion testicular aguda y orquiectomia articulo original medigraphic. Prompt diagnosis remains difficult and testicular salvage rates depends on the interval between symptom onset and the surgical treatment. Spermatic cord torsion sct is one of the true urological emergencies that mainly develop during puberty and the early adolescent period, with a calculated annual incidence of 1 in 4,000 among those under 25 years old.
In 64 patients with an age range from 2 months to 46 years acute torsion was found. Testicular torsion, prenatal testicular torsion, perinatal testicular torsion, orchiectomy, acute scrotum. Always perform a testicular exam in male lower abdominal pain. Medicina vi semestre hayn, herz,bellinger y schneck. Apr 18, 2019 capas testiculares pdf escroto agudo i. Consider occult testicular torsion if undescended testicle especially in infants with unconsolable crying lower abdominal pain without testicular pain may be the only presenting symptom of testicular torsion in 30% of cases. Twenty rabbits underwent unilateral 360 degree testis torsion and contralateral orchiopexy. Torsion of a testicular appendage is the most commonly misdiagnosed scrotal lesion, the preoperative diagnosis being. Data sources include ibm watson micromedex updated 10 apr 2020, cerner multum updated 6 apr 2020. Data sources include ibm watson micromedex updated 28 feb 2020, cerner multum updated 2 mar 2020. The spermatic cord is the cordlike structure in males formed by the vas deferens ductus deferens and surrounding tissue that runs from the deep inguinal ring down to each testicle.
Testicular torsion in the perinatal period is an uncommon finding. Testicular torsion is the most common cause of acute scrotal pain in the prepuberal and adolescent boys and should be foremost in the minds of primary care physicians evaluating these children. Nov 08, 2016 torsion testicular maria yolanda garcia arango slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Painless testicular torsion may occur if nerve is ischemic on twisting with vascular supply intermittent pain may occur if the testicle recurrently torses and detorses. A collection of serous fluid in the spermatic cord is named funiculocele. Morphologically and functionally, the fate of the compromised testis largely depends on the time elapsed between the acute episode and surgical intervention. Torsion, cordon espermatico, detorsion, orquidopexia, orquiectomia. Two cases of testicular torsion in utero are reported, insisting in the pour clinica and the importance of the careful exploration of the newly born in the childbirthroom. Each testicle develops in the lower thoracic and upper lumbar region and migrates into the. Pdf torsion del cordon espermatico luis david torres.
To compare the usefulness of conventional color doppler ultrasound us, unenhanced and contrast materialenhanced power doppler us, and radionuclide imaging in a model of acute testicular torsion. Puede suceder en testiculos criptorquidos, pero tambien puede suceder en testiculos normales. Urologia practica 2011 traumatismo escrotal y testicular. Testicular torsion, testicular appendix torsion, and other forms of testicular infarction. Torsion testicular, reto diagnostico ante una urgencia. Frecuente en urgencias urologicas importantes repercusiones a largo plazo. Childrens hospital at dartmouth, lebanon, new hampshire. Dec 23, 2019 capas testiculares pdf escroto agudo i. If you continue browsing the site, you agree to the use of cookies on this website. Torsion testicular trastornos urogenitales manual msd version. Testicular torsion may result in irreversible damage to the testicle within hours. Testicular torsion is an emergency requiring immediate care. When not treated quickly, or at all, this condition can result in severe complications. Cordon espermatico, escroto y testiculos by rafael dduarte on.
The spermatic cord is sensitive to torsion, in which the testicle rotates within its sac and blocks its own blood supply. This interrupts the blood supply to the testicles and surrounding tissue. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Testicular torsion is a condition that occurs when the spermatic cord, which holds the testicles in the scrotum, twists. Torsion del cordon espermatico revista ucm universidad. The salvage rate of an affected testis largely depends on the duration and degree of torsion 2,3. Traumatismo escrotal y testicular etiologia trauma contuso. During a 5year period 111 patients were operated for suspected torsion of the testis. The salvage rate of an affected testis largely depends on the duration and degree of torsion. Hernias inguinales y torsion testicular slideshare. Revista pediatria electronica torsion testicular en pediatria. Torsion testicular, sindrome escrotal agudo, orquiectomia, dolor escrotal. Testis viability is very low, however there are cases that after an early diagnosis and detorsion, orchiec.
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