Neonatal testicular torsion after cesarean section with spinal anesthesia: a presentation of two cases

 Abstract  Testicular torsion is a medical emergency appearing at any age, the prevalence of  which in the neonatal period comprises 10% of the whole cases occurring at any  point in life. Among all the cases being diagnosed at birth, 70% has occurred in the  prenatal period and 30% in the neonatal period. Generally, the most common symptoms  of testicular torsion during postnatal period include acute pain and swelling of  the testis, but in the neonatal period it is often manifested by firmness and swelling of  the testicle. Accordingly, careful attention of the physician and the medical staff  while examining the newborn results in quick diagnosis and timely medical treatment  of the torsion. This medical intervention prevents irreversible necrosis of the  affected testis-the main consequence of the torsion-and helps to restore its function.  The major purpose of this study was to draw the attention of physicians and medical  teams to prompt diagnosis of testicular torsion. This study presents two newborn  babies with testicular torsion, diagnosed at early hours after delivery, who underwent  surgical treatment within first 8-10 hours after birth.