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Ultrasonographic features of prenatal testicular torsion: Case report

Year 2013, Volume: 40 Issue: 2, 304 - 306, 01.06.2013
https://doi.org/10.5798/diclemedj.0921.2013.02.0276

Abstract

Although prenatal testicular torsion (PNTT) is rarely observed, it is an important condition that can cause bilateral vanishing testis. Generally PNTT cases observed as extravaginal torsion and treatment is emergency surgical operation. In this article, 39 week presented a case diagnosed in the prenatal testicular torsion. PNTT diagnosis was confirmed by Doppler ultrasonography and emergency surgery was performed. Extravaginal left testicular torsion gangrene and necrosis of the testis was observed in the operation. Left orchiectomy was performed and intrauterine ultrasonographic diagnosis was found to be correct.

References

  • Djahangirian O, Ouimet A, Saint-Vil D. Timing and surgical management of neonatal testicular torsions. J Pediatr Surg 2010;45:1012-1015.
  • Kaye JD, Levitt SB, Friedman SC, at al. Neonatal torsion: a 14- year experience and proposed algorithm for manage- ment. J Urol 2008;179:2377.
  • Ryken TC, Turner JW, Haynes T. Bilateral testicular torsion in a preterm neonate. J Urol1990;143:102-103.
  • Brandt MT, Sheldon CA, Wacksman J, Matthews P. Pre- natal testicular torsion: principles of management. J Urol 1992;147:670-672.
  • Gross BR, Cohen HL, Schlessel J. Perinatal diagnosis of bi- lateral testicular torsion: beware of torsions simulating hy- droceles. J Ultrasound Med 1993;12:479-481.
  • Rosenberg J, Zimmerman M. Case report: intrauterine tes- ticular torsion. J Med Soc NJ 1984;81:320-321.
  • Hubbard AE, Ayers AB, MacDonald LM, James CE. In utero torsion of the testis: antenatal and postnatal ultrasonic ap- pearances. Br J Radiol1984;57:644-646
  • Tripp BM, Homsy YL. Prenatal diagnosis of bilateral neona- tal torsion: a case report. J Urol 1995;153:1990-110.
  • Guerra LA, Wiesenthal J, Pike J, Leonard MP. Management of neonatal testicular torsion: Which way to turn? Can Urol Assoc J 2008;2: 380.
  • Shipp TD, Benacerraf BR. Scrotal inguinal hernia in a fetus: sonographic diagnosis. Am J Roentgen- ol1995;165:1494-1495.
  • Barloon TJ, Weissman AM, Kahn D. Diagnostic imag- ing of patients with acute scrotal pain. Am Fam Physician 1996;53:1734-1750.

Prenatal testis torsiyonunun ultrasonografik özellikleri: Olgu sunumu

Year 2013, Volume: 40 Issue: 2, 304 - 306, 01.06.2013
https://doi.org/10.5798/diclemedj.0921.2013.02.0276

Abstract

Prenatal testis torsiyonu (PNTT) nadir görülmesine rağmen, bilateral olması durumunda anorşiye neden olabilen önemli bir durumdur. PNTT\'lu vakalar da genellikle ekstravajinal torsiyon görülmekte ve tedavisi acil cerrahi girişimdir. Makalemizde 39. hafta da prenatal testis torsiyonu saptanan bir olgu sunulmuştur. PNTT\'nu tanısı Doppler USG ile doğrulandı ve acil ameliyata alındı. Ameliyata sol testiste ekstravaginal torsiyon olduğu, testisin gangrene ve nekrotik olduğu gözlendi. Sol orşiektomi yapılan olguda intrauterin ultrasonografik tanısının doğru olduğu saptandı.

References

  • Djahangirian O, Ouimet A, Saint-Vil D. Timing and surgical management of neonatal testicular torsions. J Pediatr Surg 2010;45:1012-1015.
  • Kaye JD, Levitt SB, Friedman SC, at al. Neonatal torsion: a 14- year experience and proposed algorithm for manage- ment. J Urol 2008;179:2377.
  • Ryken TC, Turner JW, Haynes T. Bilateral testicular torsion in a preterm neonate. J Urol1990;143:102-103.
  • Brandt MT, Sheldon CA, Wacksman J, Matthews P. Pre- natal testicular torsion: principles of management. J Urol 1992;147:670-672.
  • Gross BR, Cohen HL, Schlessel J. Perinatal diagnosis of bi- lateral testicular torsion: beware of torsions simulating hy- droceles. J Ultrasound Med 1993;12:479-481.
  • Rosenberg J, Zimmerman M. Case report: intrauterine tes- ticular torsion. J Med Soc NJ 1984;81:320-321.
  • Hubbard AE, Ayers AB, MacDonald LM, James CE. In utero torsion of the testis: antenatal and postnatal ultrasonic ap- pearances. Br J Radiol1984;57:644-646
  • Tripp BM, Homsy YL. Prenatal diagnosis of bilateral neona- tal torsion: a case report. J Urol 1995;153:1990-110.
  • Guerra LA, Wiesenthal J, Pike J, Leonard MP. Management of neonatal testicular torsion: Which way to turn? Can Urol Assoc J 2008;2: 380.
  • Shipp TD, Benacerraf BR. Scrotal inguinal hernia in a fetus: sonographic diagnosis. Am J Roentgen- ol1995;165:1494-1495.
  • Barloon TJ, Weissman AM, Kahn D. Diagnostic imag- ing of patients with acute scrotal pain. Am Fam Physician 1996;53:1734-1750.
There are 11 citations in total.

Details

Primary Language Turkish
Journal Section Case Reports
Authors

Elif Ağaçayak This is me

Bahattin Aydoğdu This is me

Publication Date June 1, 2013
Submission Date March 2, 2015
Published in Issue Year 2013 Volume: 40 Issue: 2

Cite

APA Ağaçayak, E., & Aydoğdu, B. (2013). Prenatal testis torsiyonunun ultrasonografik özellikleri: Olgu sunumu. Dicle Medical Journal, 40(2), 304-306. https://doi.org/10.5798/diclemedj.0921.2013.02.0276
AMA Ağaçayak E, Aydoğdu B. Prenatal testis torsiyonunun ultrasonografik özellikleri: Olgu sunumu. diclemedj. June 2013;40(2):304-306. doi:10.5798/diclemedj.0921.2013.02.0276
Chicago Ağaçayak, Elif, and Bahattin Aydoğdu. “Prenatal Testis Torsiyonunun Ultrasonografik özellikleri: Olgu Sunumu”. Dicle Medical Journal 40, no. 2 (June 2013): 304-6. https://doi.org/10.5798/diclemedj.0921.2013.02.0276.
EndNote Ağaçayak E, Aydoğdu B (June 1, 2013) Prenatal testis torsiyonunun ultrasonografik özellikleri: Olgu sunumu. Dicle Medical Journal 40 2 304–306.
IEEE E. Ağaçayak and B. Aydoğdu, “Prenatal testis torsiyonunun ultrasonografik özellikleri: Olgu sunumu”, diclemedj, vol. 40, no. 2, pp. 304–306, 2013, doi: 10.5798/diclemedj.0921.2013.02.0276.
ISNAD Ağaçayak, Elif - Aydoğdu, Bahattin. “Prenatal Testis Torsiyonunun Ultrasonografik özellikleri: Olgu Sunumu”. Dicle Medical Journal 40/2 (June 2013), 304-306. https://doi.org/10.5798/diclemedj.0921.2013.02.0276.
JAMA Ağaçayak E, Aydoğdu B. Prenatal testis torsiyonunun ultrasonografik özellikleri: Olgu sunumu. diclemedj. 2013;40:304–306.
MLA Ağaçayak, Elif and Bahattin Aydoğdu. “Prenatal Testis Torsiyonunun Ultrasonografik özellikleri: Olgu Sunumu”. Dicle Medical Journal, vol. 40, no. 2, 2013, pp. 304-6, doi:10.5798/diclemedj.0921.2013.02.0276.
Vancouver Ağaçayak E, Aydoğdu B. Prenatal testis torsiyonunun ultrasonografik özellikleri: Olgu sunumu. diclemedj. 2013;40(2):304-6.