Testicular Torsion in a Hydrocele  

Oleh:

Okatan, Eda ; Keijzer, Richard

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 361 no. 07 (Aug. 2009), page 698.
Topik: Testicular torsion; hydrocele

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2009.04 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

A 6-week-old male infant with congenital bilateral hydroceles presented with a reddish, painful, and swollen left scrotum of 2 days' duration. There were no signs of inguinal hernia or fever. A flashlight test revealed transillumination of a right hydrocele and opacity of the left scrotum. Ultrasonography revealed a 1.0-cm3 testis on the right side and a 1.45-cm3 testis on the left with associated scrotal edema. Doppler studies revealed obstruction of blood flow to the left testicle. These findings confirmed the diagnosis of left-sided testicular torsion. Surgical exploration revealed the left testicle to be necrotic; unilateral orchidectomy was performed. The infant was discharged 1 day after surgery. The postoperative course was uneventful, and the hydroceles had not recurred at 1-year follow-up. Congenital hydroceles are common, and most resolve spontaneously within a year; testicular torsion is an uncommon but serious complication.

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