Bilateral Testicular Torsion: A Case Report
Abstract
Bilateral testicular torsion is a rare condition. We report a case of a male newborn with bilateral enlarged and firm testes. Color-Doppler revealed no evidence of vascular flow in both testes. Although intraoperative findings were in favor of bilateral infarcted and gangrenous testes, the patient underwent bilateral orchiopexy after conferring with his parents. At six- month follow-up, both testicles were atrophic. Management of bilateral neonatal testicular torsion is controversial and includes conservative management, orchiopexy, and orchiectomy. The possibility of salvaging testis in neonatal testicular torsion is very low in each treatment modality.
[1] Monteilh C, Calixte R, Burjonrappa S. Controversies in the management of neonatal testicular torsion: A meta-analysis. Journal of Pediatric Surgery. 2019; 54(4):815-9. [DOI:10.1016/j.jpedsurg.2018.07.006] [PMID]
[2] Djahangirian O, Ouimet A, Saint-Vil D. Timing and surgical management of neonatal testicular torsions. Journal of Pediatric Surgery. 2010;45(5):1012-5. [DOI:10.1016/j.jpedsurg.2010.02.032] [PMID]
[3] Kaye JD, Levitt SB, Friedman SC, Franco I, Gitlin J, Palmer LS. Neonatal torsion: A 14-year experience and proposed algorithm for management. The Journal of Urology. 2008; 179(6):2377-83. [DOI:10.1016/j.juro.2008.01.148] [PMID]
[4] Riaz-Ul-Haq M, Mahdi DEA, Elhassan EU. Neonatal testicular torsion; A review article. Iranian Journal of Pediatrics. 2012; 22(3):281-9. [PMID] [PMCID]
[5] Pogorelić Z, Jukić M, Škrabić V, Mrklić I, Fridl Vidas V, Jurić I, et al. Bilateral simultaneous testicular torsion in a newborn: Report of a case. Acta Medica (Hradec Králové). 2017; 60(3):120-3. [DOI:10.14712/18059694.2018.4] [PMID]
[6] Clarke MJH, Crocker S, Bartle DG, Apsey J. Bilateral testicular torsion in a 36-week neonate. BMJ Case Reports. 2018; 2018:bcr2017223093. [DOI:10.1136/bcr-2017-223093] [PMID] [PMCID]
[7] Nandi B, Murphy FL. Neonatal testicular torsion: A systematic literature review. Pediatric Surgery International. 2011; 27(10):1037- 40. [DOI:10.1007/s00383-011-2945-x] [PMID]
[8] Lee SD, Cha CS. Asynchronous bilateral torsion of the spermatic cord in the newborn: A case report. Journal of Korean Medical Science. 2002; 17(5):712-4. [DOI:10.3346/jkms.2002.17.5.712] [PMID] [PMCID]
[9] Mano R, Livne PM, Nevo A, Sivan B, Ben-Meir D. Testicular torsion in the first year of life--Characteristics and treatment outcome. Urology. 2013; 82(5):1132-7. [DOI:10.1016/j.urology.2013.07.018] [PMID]
[10] Saxena AK, Castellani C, Ruttenstock EM, Höllwarth ME. Testicular torsion: A 15-year single-centre clinical and histological analysis. Acta paediatrica. 2012; 101(7):e282-6. [DOI:10.1111/j.1651- 2227.2012.02644.x] [PMID]
[11] Baglaj M, Carachi R. Neonatal bilateral testicular torsion: A plea for emergency exploration. The Journal of Urology. 2007; 177(6):2296- 9. [DOI:10.1016/j.juro.2007.02.005] [PMID]
[12] Cooper CS, Snyder OB, Hawtrey CE. Bilateral neonatal testicular torsion. Clinical Pediatrics. 1997; 36(11):653-6. [DOI:10.1177/0009 92289703601107] [PMID]
[13] Pinto KJ, Noe HN, Jerkins GR. Management of neonatal testicular torsion. Journal of Urology. 1997; 158(3):1196-7. [DOI:10.1016/ S0022-5347(01)64425-2]
[14] Granger J, Brownlee EM, Cundy TP, Goh DW. Bilateral perinatal testicular torsion: Successful salvage supports emergency surgery. BMJ Case Reports. 2016; 2016:bcr2016216020. [DOI:10.1136/bcr- 2016-216020] [PMID] [PMCID]
[15] John CM, Kooner G, Mathew DE, Ahmed S, Kenny SE. Neonatal testicular torsion--A lost cause? Acta paediatrica. 2008; 97(4):502-4. [DOI:10.1111/j.1651-2227.2008.00701.x] [PMID]
[2] Djahangirian O, Ouimet A, Saint-Vil D. Timing and surgical management of neonatal testicular torsions. Journal of Pediatric Surgery. 2010;45(5):1012-5. [DOI:10.1016/j.jpedsurg.2010.02.032] [PMID]
[3] Kaye JD, Levitt SB, Friedman SC, Franco I, Gitlin J, Palmer LS. Neonatal torsion: A 14-year experience and proposed algorithm for management. The Journal of Urology. 2008; 179(6):2377-83. [DOI:10.1016/j.juro.2008.01.148] [PMID]
[4] Riaz-Ul-Haq M, Mahdi DEA, Elhassan EU. Neonatal testicular torsion; A review article. Iranian Journal of Pediatrics. 2012; 22(3):281-9. [PMID] [PMCID]
[5] Pogorelić Z, Jukić M, Škrabić V, Mrklić I, Fridl Vidas V, Jurić I, et al. Bilateral simultaneous testicular torsion in a newborn: Report of a case. Acta Medica (Hradec Králové). 2017; 60(3):120-3. [DOI:10.14712/18059694.2018.4] [PMID]
[6] Clarke MJH, Crocker S, Bartle DG, Apsey J. Bilateral testicular torsion in a 36-week neonate. BMJ Case Reports. 2018; 2018:bcr2017223093. [DOI:10.1136/bcr-2017-223093] [PMID] [PMCID]
[7] Nandi B, Murphy FL. Neonatal testicular torsion: A systematic literature review. Pediatric Surgery International. 2011; 27(10):1037- 40. [DOI:10.1007/s00383-011-2945-x] [PMID]
[8] Lee SD, Cha CS. Asynchronous bilateral torsion of the spermatic cord in the newborn: A case report. Journal of Korean Medical Science. 2002; 17(5):712-4. [DOI:10.3346/jkms.2002.17.5.712] [PMID] [PMCID]
[9] Mano R, Livne PM, Nevo A, Sivan B, Ben-Meir D. Testicular torsion in the first year of life--Characteristics and treatment outcome. Urology. 2013; 82(5):1132-7. [DOI:10.1016/j.urology.2013.07.018] [PMID]
[10] Saxena AK, Castellani C, Ruttenstock EM, Höllwarth ME. Testicular torsion: A 15-year single-centre clinical and histological analysis. Acta paediatrica. 2012; 101(7):e282-6. [DOI:10.1111/j.1651- 2227.2012.02644.x] [PMID]
[11] Baglaj M, Carachi R. Neonatal bilateral testicular torsion: A plea for emergency exploration. The Journal of Urology. 2007; 177(6):2296- 9. [DOI:10.1016/j.juro.2007.02.005] [PMID]
[12] Cooper CS, Snyder OB, Hawtrey CE. Bilateral neonatal testicular torsion. Clinical Pediatrics. 1997; 36(11):653-6. [DOI:10.1177/0009 92289703601107] [PMID]
[13] Pinto KJ, Noe HN, Jerkins GR. Management of neonatal testicular torsion. Journal of Urology. 1997; 158(3):1196-7. [DOI:10.1016/ S0022-5347(01)64425-2]
[14] Granger J, Brownlee EM, Cundy TP, Goh DW. Bilateral perinatal testicular torsion: Successful salvage supports emergency surgery. BMJ Case Reports. 2016; 2016:bcr2016216020. [DOI:10.1136/bcr- 2016-216020] [PMID] [PMCID]
[15] John CM, Kooner G, Mathew DE, Ahmed S, Kenny SE. Neonatal testicular torsion--A lost cause? Acta paediatrica. 2008; 97(4):502-4. [DOI:10.1111/j.1651-2227.2008.00701.x] [PMID]
| Files | ||
| Issue | Vol 6 No 4 (2021): July-August | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/crcp.v6i4.7852 | |
| Keywords | ||
| Spermatic cord torsion Newborn Neonatal testicular torsion | ||
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How to Cite
1.
Lotfi B. Bilateral Testicular Torsion: A Case Report. CRCP. 2021;6(4):137-140.
