Geç başvurulu akut skrotumlu olgularda 14 yıllık deneyim

Öz

Objective: The aim of this study is to evaluate the 14 years' clinical experience in children with acute scrotum and to discuss the role of surgery for acute scrotum in delayed presentation. Methods: Of 156 boys with acute scrotum, 98 (63%) were operated for suspected torsion between 1987 and 2001. Clinical records are evaluated retrospectively regard to surgical indications, findings of operation and outcome. Results: Testicular torsion (n=38, 39%), appendix testis/epididymis torsion (n=21, 22%), epididymoorchitis (n=20, 20%), acute/infected hydrocele (n=12, 12%), and hematocele (n=7, 7%) were diagnosed in 98 children. The mean admission time was found 4.5 days (1-10 days) in testicular torsion group while mean age was biphasic (15 days and 7 years). Only two testes from 38 patients with unilateral testicular torsion saved from being lost to torsion. These two patients had admitted with one and two-day history. Conclusion: Physical examination in cases with acute scrotum is reliable for deciding to operate immediately, when diagnostic facilities are not available during 24 hours in the institution. We suggest that surgical exploration is necessary even in cases of testicular torsion with delayed admission.

Anahtar Kelimeler

• Retrospective Studies,Spermatic Cord Torsion,Child

14 years experience in delayed acute scrotum from a maternal and child hospital

Öz

Amaç: Bu çalışmanın amacı 14 yıllık sürede akut skrotumla başvuran çocuklardaki klinik deneyimlerimizi değerlendirmek ve geç başvuran akut skrotumlu olgularda testis sağaltımı üzerine cerrahi tedavinin rolünü araştırmaktır. Gereç ve Yöntem: 1987-2001 yılları arasında akut skrotum nedeniyle başvuran 156 çocuğun üm kayıtları analiz edildi. 98'i akut skrotum nedeniyle opere edildi (%63). Cerrahi endikasyon, ameliyat bulguları ve sonuçlar açısından hastaların tüm klinik kayıtları retrospektif olarak incelendi. Bulgular: Başvuran 156 çocuğun 98'i (%63) opera edildi. 98 çocukta; testis torsiyonu (n=38, %39), appendiks testis veya epididimis torsiyonu (n=21, %22), epididimoorşit (n=20, %20), akut infekte hidrosel (n=7, %7) saptandı. Testis torsiyonlu olgularda ortalama başvuru zamanı 4.5 gün (1-10 gün) bulundu, ortalama yaş değerleri bifazikti (15 gün ve 7 yaş).38 testis torsiyonlu olgudan sadece testis kaybı önlendi. Bu olgular bir ve iki günlük öykü ile başvurmuşlardı. Sonuç: 24 saat boyunca klinikte radyolojik imkanlar mümkün olmasa da akut skrotum olgularında fizik muayene bulguları ameliyat kararı için geçerlidir. Hastalar geç başvursalar dahi cerrahi eksplorasyonu önermekteyiz.

Anahtar Kelimeler

• Geriyedönük çalışma,Spermatik kord torsiyonu,Çocuk

Kaynakça

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