Testicular torsion N44.x0

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Acute rotation of the testis around the spermatic cord in the scrotum.

Etiopathogenesis
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Mostly at sports or games.

Manifestation
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Mainly children between 10 and 14 years of age.

Clinical features
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Acute pain radiating to the lower abdomen. The affected scrotal side is reddened, extremely sensitive to pressure and edematous. Nausea, vomiting.

Differential diagnosis
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Acute epididymitis.

Therapy
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Surgical intervention by urologists or pediatric surgeons if possible within the first 4 hours (danger of infertility): Immediate surgical exposure of the testicle and spermatic cord, detonation, fixation of the testicle to the tunica dartos. Fixation of the other testis.

Incoming links (2)

Epididymitis acuta; Orchitis;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020