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Escroto Agudo

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22 papers 0 to 25 followers
Victoria J Sharp, Kathleen Kieran, Angela M Arlen
Testicular torsion is a twisting of the spermatic cord and its contents and is a surgical emergency affecting 3.8 per 100,000 males younger than 18 years annually. It accounts for 10% to 15% of acute scrotal disease in children, and results in an orchiectomy rate of 42% in boys undergoing surgery for testicular torsion. Prompt recognition and treatment are necessary for testicular salvage, and torsion must be excluded in all patients who present with acute scrotum. Testicular torsion is a clinical diagnosis, and patients typically present with severe acute unilateral scrotal pain, nausea, and vomiting...
December 15, 2013: American Family Physician
Roy Mano, Pinhas M Livne, Amihay Nevo, Bezalel Sivan, David Ben-Meir
OBJECTIVE: To review the characteristics and treatment outcome of testicular torsion in infants, aged 1 month to 1 year, and compare them with those seen in neonates. METHODS: The study group included 30 patients aged younger than 1 year who were treated for testicular torsion at a tertiary pediatric medical center between 1993 and 2012. Medical records were retrospectively reviewed for clinical characteristics and treatment outcome. Findings were compared between patients who presented before age 1 month (neonate group, n = 17) or later (infant group, n = 13)...
November 2013: Urology
Alfredo D'Andrea, Francesco Coppolino, Elviro Cesarano, Anna Russo, Salvatore Cappabianca, Eugenio Annibale Genovese, Paolo Fonio, Luca Macarini
BACKGROUND: The acute scrotum is a medical emergency . The acute scrotum is defined as scrotal pain, swelling, and redness of acute onset. Scrotal abnormalities can be divided into three groups , which are extra-testicular lesion, intra-testicular lesion and trauma. This is a retrospective analysis of 164 ultrasound examination performed in patient arriving in the emergency room for scrotal pain.The objective of this article is to familiarize the reader with the US features of the most common and some of the least common scrotal lesions...
July 15, 2013: Critical Ultrasound Journal
Michael Boettcher, Thomas Krebs, Robert Bergholz, Katharina Wenke, Daniel Aronson, Konrad Reinshagen
OBJECTIVE: To test the clinical and sonographic predictors of testicular torsion (TT) with the aim of reducing negative exploration rates. PATIENTS AND METHODS: We performed a prospective study of all boys treated for 'acute scrotum' at our institute between January 2001 and April 2012 and clinical findings were documented. If available, ultrasonography (US) was added to the diagnostic evaluation. A prediction of the diagnosis was based on clinical and sonographic features, and was followed by surgical exploration in all patients...
December 2013: BJU International
Teresa Liang, Peter Metcalfe, William Sevcik, Michelle Noga
OBJECTIVE: Testicular torsion is a common acute condition in boys requiring prompt accurate management. The objective of this article was to evaluate ultrasound accuracy, findings, and clinical predictors in testicular torsion in boys presenting to the Stollery pediatric emergency department with acute scrotal pain. METHODS: Retrospective review of surgical and emergency department ultrasound records for boys from 1 month to 17 years old presenting with acute scrotal pain from 2008 to 2011 was performed...
May 2013: AJR. American Journal of Roentgenology
Yu-Hsiu Juan, Kai-Hsiung Ko, Yen-Lin Chen, Chang-Hsien Liu, Chih-Yung Yu, Wei-Chou Chang, Guo-Shu Huang
Amyand's hernia is a rare form of inguinal hernia in which an inflamed appendix is incarcerated in a hernial sac. The clinical presentation of Amyand's hernia varies, depending on the extent of inflammation involved in the hernial sac and the presence or absence of a scrotal abscess. If a scrotal abscess is present, this usually indicates that the appendix in the hernial sac is perforated. However, without the availability of computed tomography (CT) scans, the condition is often preoperatively misdiagnosed as a strangulated inguinal hernia...
January 2013: Journal of the Chinese Medical Association: JCMA
Lejla Aganovic, Fiona Cassidy
Ultrasonography is currently the imaging modality of choice when assessing scrotal lesions. Ultrasound findings are sometimes inconclusive, in which case magnetic resonance (MR) imaging might yield additional important information. This article reviews ultrasound and MR imaging features of various intratesticular and extratesticular lesions including acute and nonacute conditions of the scrotum. Nonneoplastic lesions that can mimic scrotal malignancy are discussed. Normal anatomy and imaging techniques are also presented...
November 2012: Radiologic Clinics of North America
Ahmad Khaleghnejad-Tabari, Alireza Mirshermirani, Mohsen Rouzrokh, Morteza Mahmudi, Mohamad-Reza Baghaiepour, Parand Ghaffari, Bijan Hatamian
OBJECTIVE: Acute scrotal conditions are a common clinical setting that present with pain and swelling of the hemiscrotum. The aim of our study has been to evaluate the findings in boys operated on acute scrotum. METHODS: A descriptive study was conducted on 100 patients with acute scrotum admitted to Mofid Children's Hospital from March 1993 to March 2007. Data included history, age, primary symptoms, definite diagnosis, side involvement, paraclinical tests, imaging modalities, medical or surgical management and type of the surgery...
December 2010: Iranian Journal of Pediatrics
Daniel G DaJusta, Candace F Granberg, Carlos Villanueva, Linda A Baker
Testicular torsion is one of the few emergencies in pediatric urology which requires an accurate and timely diagnosis in order to avoid testis loss. It is not an uncommon event affecting a young male population. In fact, testicular torsion is more common than testicular tumors for this same age group, yet testicular torsion has not been given the public attention it deserves as a male health risk. In this review we highlight the new information published over the past four years regarding testicular torsion...
December 2013: Journal of Pediatric Urology
Patrick Günther, Iris Rübben
BACKGROUND: The acute scrotum in childhood or adolescence is a medical emergency. Inadequate evaluation and delays in diagnosis and treatment can result in irreversible harm, up to and including loss of a testis. Various diseases can produce this clinical picture. The testis is ischemic in only about 20% of cases. METHODS: This review is based on a selective literature search, the existing clinical guideline, and the authors' experience. RESULTS: The clinical approach to the acute scrotum must begin with a standardized, rapidly performed diagnostic evaluation...
June 2012: Deutsches Ärzteblatt International
Edward K Sung, Bindu N Setty, Ilse Castro-Aragon
OBJECTIVE: The purpose of this article is to review the different scrotal disease entities in the pediatric population, focusing on acute scrotum, traumatic injuries, and testicular tumors. CONCLUSION: Many pediatric scrotal disorders can be well characterized on sonography. An understanding of the various disease entities, their clinical presentations, and the typical sonographic features should all be combined to make an accurate diagnosis.
May 2012: AJR. American Journal of Roentgenology
Jakov Meštrović, Mihovil Biočić, Zenon Pogorelić, Dubravko Furlan, Nikica Družijanić, Davor Todorić, Vesna Capkun
OBJECTIVE: The differential diagnosis of an acute scrotum is of great importance in clinical practice and may be difficult in some cases. The aim of this study was to differentiate inflammatory from non-inflammatory causes of acute scrotum using relatively simple laboratory tests which can be performed quickly and easily outside a hospital setting. PATIENTS AND METHODS: From 2007 to 2010, 85 boys with acute scrotum were included in this prospective study. There were 28 boys with inflammatory and 57 with non-inflammatory causes...
June 2013: Journal of Pediatric Urology
Robert N Lopez, Spencer W Beasley
Torsion of the testis is a surgical emergency. Within the paediatric population, peaks in incidence occur in the perinatal and adolescent age groups. There exist traps that can make torsion of the testis a difficult diagnosis to make and once made a tricky condition to manage, in some instances. It is becoming clear that perinatal torsion should serve as an umbrella term for what is increasingly being regarded as two separate entities: prenatal and post-natal torsion. Evidence suggests that the management for each of these may be different...
February 2012: Journal of Paediatrics and Child Health
Lee C Zhao, Timothy B Lautz, Joshua J Meeks, Max Maizels
PURPOSE: Testicular torsion causes considerable morbidity in the pediatric population but the societal burden is poorly quantified. We determined the modern incidence of testicular torsion as well as the current rates of orchiectomy and attempted testicular salvage, and identified the risk factors for testicular loss. MATERIALS AND METHODS: A cohort analysis was performed of 2,443 boys (age 1 month to less than 18 years) and 152 newborns who underwent surgery for testicular torsion in the 2000, 2003 and 2006 Healthcare Cost and Utilization Project Kids' Inpatient Database...
November 2011: Journal of Urology
G Soccorso, G K Ninan, A Rajimwale, S Nour
AIM: Selective scrotal exploration of only those boys believed to have testicular torsion (TT), relying on history and clinical examination for diagnosis, can result in a missed or delayed diagnosis of TT. To minimise testicular loss we propose early scrotal exploration in all boys with acute scrotum (AS). To validate our approach we investigated the accuracy of clinical diagnoses of all boys with AS admitted to our unit. Clinical features and diagnoses were correlated with operative findings...
September 2010: European Journal of Pediatric Surgery
Orchidée Djahangirian, Alain Ouimet, Dickens Saint-Vil
BACKGROUND: The timing and surgical management of neonatal testicular torsions (NTTs) remain controversial, varying from immediate orchiectomy with empirical contralateral orchiopexy to expectant management with resulting atrophy of the affected testicle. The goal of the present study is to review the management of this entity at our institution. MATERIALS AND METHODS: A retrospective study of all patients with NTT from 1989 to 2007 was undertaken. The age, clinical presentation, investigation, management, and short- and long-term outcomes were noted...
May 2010: Journal of Pediatric Surgery
Yael Yagil, Inna Naroditsky, Jumana Milhem, Ronit Leiba, Maxim Leiderman, Shadie Badaan, Diana Gaitini
OBJECTIVE: The purpose of this study was to examine the triage role of scrotal Doppler ultrasonography (DUS) as the primary preoperative diagnostic tool in patients presenting to the emergency department (ED) with acute scrotum. METHODS: Patients who presented to the ED with acute scrotum and underwent scrotal DUS in the ultrasound unit over a 3-year period (2004-2007) were included in the study. Patient characteristics, DUS findings, and clinical management were retrospectively collected and reviewed...
January 2010: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
John M Gatti, J Patrick Murphy
Pediatric surgeons and urologists are often asked to evaluate boys with acute scrotal pain and inflammation. Although there are myriad etiologies for this syndrome, testicular torsion should be at the top of the list. It is the one diagnosis that must be made accurately and rapidly if there is any hope for testicular salvage. The purpose of this article is to update/review the appropriate evaluation and management of the acute scrotum and to guide the clinician in distinguishing testicular torsion from the other conditions that commonly mimic this surgical emergency...
February 2007: Seminars in Pediatric Surgery
David Ben-Meir, Aniruddh Deshpande, John M Hutson
OBJECTIVE: To investigate children and adolescents who had scrotal exploration more than once. PATIENTS AND METHODS: Between 1994 and 2004, 64 of 840 (7.6%) boys had more than one scrotal exploration at our institution. The age, laterality of the explorations, the interval between and findings at operation, whether the testes were managed by orchidopexy and how, and the complications, were reviewed from the medical records and the operating reports of the patients...
February 2006: BJU International
Jonathan M Mansbach, Peter Forbes, Craig Peters
OBJECTIVE: To determine risk factors for testicular loss due to testicular torsion. DESIGN AND PARTICIPANTS: Medical records of patients aged 1 to 25 years with a principal diagnosis of testicular torsion were extracted from the 1998 Nationwide Inpatient Sample. Population-based rates of testicular torsion and orchiectomy were determined. Logistic regression was used to create a predictive model for orchiectomy. For comparison, medical records of patients aged 1 to 25 years with a principal diagnosis of testicular neoplasm were extracted...
December 2005: Archives of Pediatrics & Adolescent Medicine
2015-03-22 01:13:16
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