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- Title
Torsion necrosis of intra-abdominal cryptorchidism in children: a case report and literature review.
- Authors
Hu Weize; Zheng Huiming; Liu Zhen; Ye Tong; Wang Yingjun; Dai Yujian
- Abstract
Objective To summarize the pathogenesis, clinical manifestations, diagnosis, and treatment of Torsion necrosis of intra-abdominal cryptorchidism in children. Methods A retrospective analysis of a 13-year-old child with abdominal cryptorchid torsion and necrosis was carried out, and his clinical symptoms were manifested as left lower quadrant tenderness, rebound tenderness, and left scrotum emptiness. Color Doppler ultrasound indicated that left cryptorchid torsion could not be excluded. Results The child underwent laparoscopic exploration. According to the exploration results, the left spermatic cord, left cryptorchidectomy, and high ligation of the left hernia sac were performed. The postoperative pathology showed extensive congestion, hemorrhage, and infarction of the testis and epididymis, dilation of the spermatic cord vessels, congestion, and hemorrhage, consistent with testicular torsion and necrosis. After 2 years of follow-up, the color Doppler ultrasound of the scrotum revealed that the right testis was normal and the left indirect inguinal hernia had no recurrence. Conclusion Cryptorchid torsion is rare clinically, and abdominal cryptorchid torsion is even rarer. Clinical manifestations of the patient are not typical. Patients and their families do not know enough about the disease, and diagnosis and treatment are often delayed to cause a low testicular salvage rate. Clinically, if cryptorchid torsion is suspected, color Doppler ultrasonography and surgical exploration should be performed as soon as possible to confirm the diagnosis and improve the testicular salvage rate as much as possible. Health education for children and their families should be strengthened, and cryptorchidism should be diagnosed early and orchiopexy performed in time to prevent late cryptorchid torsion.
- Subjects
SPERMATIC cord torsion; LITERATURE reviews; COLOR Doppler ultrasonography; TORSION; CRYPTORCHISM; DOPPLER ultrasonography
- Publication
Chinese Journal of Andrology, 2023, Vol 37, Issue 6, p110
- ISSN
1008-0848
- Publication type
Article
- DOI
10.3969/j.issn.1008-0848.2023.06.018