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KMID : 0367419930360050721
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Journal of Korean Pediatric Society
1993 Volume.36 No. 5 p.721 ~ p.724
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Bilateral Torsion of the Testes in a Newborn Infant
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Abstract
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We report one case of bilateral testicular torsion.
A 400 gm male infant, born by cesarean section due to induction failure at 42 weeks gestation, was hospitalized at 9 days of age secondary to bilateral testicular mass. Physical examination revealed an healthy baby with enlarged, firm, nontender
mass on
both sides of the scrotum. Transillumination of the mass showed no transmission of light. Laboratory data included a normal CBC and a urinalysis. Ultrasonogrophy showed well encapsulated 0.9×0.9 ×1.0 cm sized and 1.5× 1.3× 1.3 cm sized
homogenous
hypoechoic solid mass in left and right testicles respectively, remainder testicular parenchyme showed normal structure. Exploration of the testes was performed at 25-days old under general anesthesia. Exploration revealed a infarction of the
right
testes secondary to spermatic cord torsion, evidenced by clockwise turns outside the tunica vaginalis of 270 degrees. Left testes was infarcted but a quarter of them seemed normal. Orchiectomy on right and fixation on left testes were performed
respectively. Left spermatic cord seemed to be detorted spontaneously.
Postoperatively the infant did well and discharged 5 days after operation. Follow up examination during the next 3 months have shown appropriated sized testicle with normal colorization and arterial pulse. Testicular scan performed at age 39 days
showed
good perfusion of left testes.
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