en
Scientific article
Open access
French

Diagnostic et prise en charge de la torsion testiculaire chez l'enfant

Published inRevue médicale suisse, vol. 13, no. 550, p. 406-410
Publication date2017
Abstract

Testicular torsion is a true urologic emergency with a bimodal age presentation : the perinatal testicular torsion presenting with a hard, tender or non-tender scrotal mass usually with underlying dark discoloration of the skin and the peripubertal testicular torsion presenting with severe acute testicular pain, vomiting and frequently pain irradiation in the inguinal area, a high riding-horizontally positioned testis and absence of the cremasteric reflex. Obtaining a US Doppler must not add unnecessary delay to the urgent surgical treatment which entails detorsion and bilateral orchidopexy. We do not recommend manual detorsion as around 30 % of testis rotate externally. Up to 50 % of patients presenting with a testicular torsion suffered beforehand from intermittent testicular pain episodes.

Keywords
  • Adolescent
  • Child
  • Child
  • Preschool
  • Humans
  • Infant
  • Infant
  • Newborn
  • Male
  • Spermatic Cord Torsion/diagnosis/therapy
  • Young Adult
Citation (ISO format)
ESTREMADOYRO, Vanina et al. Diagnostic et prise en charge de la torsion testiculaire chez l’enfant. In: Revue médicale suisse, 2017, vol. 13, n° 550, p. 406–410.
Main files (1)
Article (Published version)
Identifiers
ISSN of the journal1660-9379
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