Diagnostic et prise en charge de la torsion testiculaire chez l’enfant [Diagnosis and management of testicular torsion in children]

Details

Serval ID
serval:BIB_BDE0CB5B0FAC
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Diagnostic et prise en charge de la torsion testiculaire chez l’enfant [Diagnosis and management of testicular torsion in children]
Journal
Revue medicale suisse
Author(s)
Estremadoyro V., Meyrat B.J., Birraux J., Vidal I., Sanchez O.
ISSN
1660-9379 (Print)
ISSN-L
1660-9379
Publication state
Published
Issued date
15/02/2017
Peer-reviewed
Oui
Volume
13
Number
550
Pages
406-410
Language
french
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Testicular torsion is a true urologic emergency with a bimodal age presentation : the perinatal testicular torsion presenting with a hard, tender or non-tender scrotal mass usually with underlying dark discoloration of the skin and the peripubertal testicular torsion presenting with severe acute testicular pain, vomiting and frequently pain irradiation in the inguinal area, a high riding-horizontally positioned testis and absence of the cremasteric reflex. Obtaining a US Doppler must not add unnecessary delay to the urgent surgical treatment which entails detorsion and bilateral orchidopexy. We do not recommend manual detorsion as around 30 % of testis rotate externally. Up to 50 % of patients presenting with a testicular torsion suffered beforehand from intermittent testicular pain episodes.
Keywords
Adolescent, Child, Child, Preschool, Humans, Infant, Infant, Newborn, Male, Spermatic Cord Torsion/diagnosis, Spermatic Cord Torsion/therapy, Young Adult
Pubmed
Create date
28/08/2017 10:06
Last modification date
20/08/2019 16:32
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