Publication: Bilateral Neonatal Testicular Torsion: A Case Report and Literature Review
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Paediatric Society (JNPS)
Abstract
Abstract:
Bilateral neonatal testicular torsions (NTT) are exceptional. We report a case of NTT in a five days old male neonate. We had noticed a right blue, and hard testicle, on the clinical examination of a five-day-old male, one day before discharge. He was diagnosed with a right neonatal testicular torsion which was managed by a right orchidectomy and contralateral surgical exploration. Although the left testicle was vascularized on the preoperative Testicular Doppler Ultrasound (TDU), torsion of the left testicle was found peroperatively and treated by detorsion and orchidopexy. Though the left spermatic cord partially regained a red tinge, the testis remained purple, raising doubts about its viability. At two and six-month follow-ups, the left testicle was smooth but small, and a TDU demonstrated that it was poorly vascularized. Hence, in case of torsion, both the testis should be considered.
Description
Authors
Emma Wilsius
Medical Student, Pediatric Surgery Department, Nancy Regional University Hospital, Vandoeuvre-Les-Nancy, France
https://orcid.org/0000-0002-5573-0452
Christelle Destinval
Consultant, Pediatric Surgery Department, Nancy Regional University Hospital, Vandoeuvre-Les-Nancy, France
https://orcid.org/0000-0002-7349-3104
Jean-Louis Lemelle
Professor, Pediatric Surgery Department, Nancy Regional University Hospital, Vandoeuvre-Les-Nancy, France
https://orcid.org/0000-0001-6438-2448
Mahmoud Rouabah
Neonatology Department, Metz Regional Hospital, Metz, France
Keywords
pediatric endocrinology, human reproduction, pediatric urology, pediatric emergency & acute care