Twisting of testis and spermatic cord, resulting in acute ischemia and loss of testis if unrecognized:
Intravaginal torsion: occurs within tunica vaginalis, only involves testis and s...
Acute onset of pain, often during period of inactivity
Onset of pain usually sudden but may start gradually with subsequent increase in severity
Nausea and vomiting are common:
Presence ...
Manual reduction: best performed by experienced physician; may be successful, facilitated by lidocaine 1% (plain) injection at level of external ring:
Difficult to determine success of manual...
Postoperative visit at 1 to 2 weeks
Yearly visits until puberty may be needed to evaluate for atrophy.
N44.00 Torsion of testis, unspecified
N44.01 Extravaginal torsion of spermatic cord
N44.03 Torsion of appendix testis
N44.02 Intravaginal torsion of spermatic cord
N44.04 Torsion of appendix ep...
The diagnosis of testicular torsion is usually made by physical exam. Patients with suspected torsion should be taken to the OR without delay. If diagnosis is in question, a testicular...
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Testicular torsion. A cut section of the testicle from a man who experienced sudden excruciating scrotal pain shows diffuse hemorrhage and necrosis of the testis and adnexal structures.
Testicular torsion. A cut section of the testicle from a man who experienced sudden excruciating scrotal pain shows diffuse hemorrhage and...
FIG. 9.7. This young man, who noted the onset of severe scrotal pain and a swollen right hemiscrotum, was diagnosed with a testicular torsion.
FIG. 9.7. This young man, who noted the onset of severe scrotal pain and a swollen right hemiscrotum, was diagnosed with a testicular tors...
<bold>Figure 55-4</bold> Adolescent with testicular torsion. (Courtesy of T. Ernesto Figueroa, MD.)