Intrauterine Testiscular Torsion: A Case Report

Abstract

Neonatal testicular torsion, especially intrauterine testicular torsion (IUTT) is so rare. In testicular torsion, hard testicular tissue is felt in physical examination. Doppler ultrasonography is a sensitive method in diagnosis. Testicle can be rescued in only 0-5% cases even with urgent surgery exploration in IUTT treatment. In this paper, a newborn case with IUTT, who was administered orchiectomy on the first day of life, is presented. In the first examination of healthy term baby were detected big bilateral scrotums. The skin of right scrotum was darker than normal, hard mass in scrotum was felt. Right testicle was harder than contralateral testicle and placed higher. Paratesticular structures were not exactly distinguished. Other examination findings were normal. In scrotal doppler ultrasonography, right testicle was seemed heterogeneous with decreased parenchymal echo. There is no bloodstain in right testicle. The torsion was first considered and operated. Torsion was detwisted, orchiectomy was applied, fixation was applied to contralateral testicle. The patient was discharged on 2 day after the operation. Testis torsions seen in postnatal period must be discussed even though they are admitted as surgically urgent due to the recovery of testis. The torsion cases being generally healthy, term and normal-weight babies decreases the risks.

Keywords

• Intrauterine testicular torsion
• orchiectomy
• testicular fixation
• newborn
• surgery

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