Korean J Urol.  2006 Jul;47(7):794-796. 10.4111/kju.2006.47.7.794.

Bilateral Neonatal Torsion of Testis

• Choo GY
• Chung YG
• Kim YJ
• Chung JS
• Kang SC
• Lee T

• KMID: 2294325
• DOI: http://doi.org/10.4111/kju.2006.47.7.794

Abstract

Extravaginal neonatal testicular torsion, although it is rare, is being recognized with increasing frequency. Furthermore, bilateral neonatal torsion is very uncommon. Because of the seriousness of the outcome due to the risk of future anorchia, this condition that requires prompt recognition and careful decision making. We experienced a case in which the patient had bilateral neonatal testicular torsion and the patient showed bilateral necrotized testes during operation. However, the histopathologic findings during operation showed a small intact portion only in the left testis. Right orchiectomy and left orchiopexy were performed, and the left testis was saved. We report here on this case with a review of the literature.

Keyword

Neonate; Torsion; Testis

MeSH Terms

Decision Making
Humans
Infant, Newborn
Orchiectomy
Orchiopexy
Spermatic Cord Torsion
Testis*

Figure

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  Fig. 1 Doppler ultrasonography at admission. Both testis show an absence of blood flow and mixed echogenicity. However, we identify a weak blood flow around the left testis.

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  Fig. 2 Both testis are torsed in a clockwise direction (720 degree). However, the left spermatic cord's diameter is larger than that on the right side.

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  Fig. 3 (A, B) The left testis tissue is necrotized, but in some part, the intact testis is identified. The necrotic cells have no nucleus (H&E, ×400).

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  Fig. 4 Doppler ultrasonography after 2 months passed. The left testis size is the same as before, and the blood flow is well demonstrated.

Reference

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