Diagnosis and Management of Testicular Torsion, Torsion of the Appendix Testis, and Epididymitis
نویسنده
چکیده
38 Because acute scrotal pain, swelling, and/or inflammation are a potential surgical emergency, prompt and accurate diagnosis is crucial. The 3 most common etiologies of acute scrotal pain in the pediatric age group are epididymitis, torsion of the appendix testis, and testicular torsion. There are numerous other causes of scrotal pain, which include hernia, hydrocele, trauma, Henoch-Schonlein purpura, idiopathic scrotal edema, and neoplasm, but only testicular torsion requires emergent surgery. History and physical examination, along with adjunctive imaging, can provide important keys to the diagnosis. This article reviews the differential diagnosis and management of the acute scrotal pain in the pediatric population, specifically focusing on testicular torsion, epididymitis, and torsion of the appendix testis. Clin Ped Emerg Med 10:38-44 © 2009 Elsevier Inc. All rights reserved.
منابع مشابه
Testicular torsion.
Each year, testicular torsion affects one in 4,000 males younger than 25 years. Early diagnosis and definitive management are the keys to avoid testicular loss. All prepubertal and young adult males with acute scrotal pain should be considered to have testicular torsion until proven otherwise. The finding of an ipsilateral absent cremasteric reflex is the most accurate sign of testicular torsio...
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Torsion of the appendix testis is not an uncommon cause of acute hemiscrotum. It is frequently misdiagnosed as acute epididymitis, orchitis, or torsion of testis. Though conservative management is the treatment of choice for this condition, prompt surgical intervention is warranted when testicular torsion is suspected. We report a case of torsion of a large appendix testis misdiagnosed as pyoce...
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A 21-year-old man with a history of left uncorrected cryptorchidism presented to the Emergency Department with sudden onset of left groin pain. He did not have any nausea, vomiting, or fevers. Additionally, there was no history of trauma, change in bowel habits or genitourinary symptoms prior to the onset of the pain. Physical examination revealed a tender, swollen and painful undescended testi...
متن کاملAcute testicular disorders.
Introduction Acute scrotal pain with or without swelling and erythema in the child or adolescent male should be treated as an emergent condition. The differential diagnosis includes: torsion of the spermatic cord, appendix testis or epididymis, epididymitis/orchitis, hernia, hydrocele, trauma, sexual abuse, tumor, idiopathic scrotal edema (dermatitis/insect bite), cellulitis, and vasculitis (He...
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OBJECTIVE A group of diseases in the scrotum setting forth by the sudden swelling and redness and pain consist of acute scrotal pathologies. The most common causes of acute scrotum in children are epididymitis, epididymo-orchitis, orchitis, testicular torsion, torsion of the appendix testis, incarcerated inguinal hernia and traumatic hydro/hematocele. In this study; we aim to evaulate patients ...
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