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Bilateral Torsion of the Testes in a Newborn Infant

Journal of the Korean Pediatric Society 1993;36(5):721-724.
Published online May 15, 1993.
Bilateral Torsion of the Testes in a Newborn Infant
Eun Sook Kim1, Hang Mi Kim1, Song Kwang Jung2
1Department of Pediatrics, School of Medicine, Kyung-Pook University, Taegu, Korea
2Department of Urology, School of Medicine, Kyung-Pook University, Taegu, Korea
신생아에서 발생한 양측성 고환염전
김은숙1, 김행미1, 정성광2
1경북대학교 의과대학 소아과학교실
2경북대학교 의과대학 비뇨기학교실
Abstract
We report one case of bilateral testicular torsion. A 4000 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 shwed no transmission of light. Laboratory data included a normal CBC and a urinalysis. Ultrasonogrophy showed well encapsulated 0.9x 0.9 x1.0 cm sized and 1.5x1. 3x1.3cm 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.
Key Words: Testicular torsion, Neonate


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