Delayed Management of Pediatric Testicular Torsion with Absence of Severe Pain : An Evidance-Based Case Report
Abstract
Testicular torsion is a surgical emergency. To protect the affected gonad, early diagnosis and surgical therapy are essential. The pediatrician's difficulty in communicating his complaints is one of the potential patient-specific causes for a delayed diagnosis related to any of these symptoms. We describe a case of unilateral testicular torsion in a 13-year-old child who had complained of swelling but hadn't experienced intense scrotal discomfort in six days. His right testicle was completely shattered. When the right testicle was discovered to have a 360-degree torsion and to be detorted but not viable in the operating room, it had an orchidectomy, and the left testis underwent an orchidopexy. Three internet databases—PubMed, Google Scholar, and Science Direct—were used to search the literature. An English journal that discusses pediatric testicular torsion has inclusion criteria. There is insufficient research on testicular torsion that manifests with painless symptoms. Treatment could be postponed if this phenomenon isn't considered appropriately.
Keywords : Delayed management, painless, pediatrics, testicular torsion
Full Text:
PDFReferences
Monteilh C, Calixte R, Burjonrappa S. Controversies in the management of neonatal testicular torsion: A meta-analysis. J Pediatr Surg. 2019;54(4):815–819.
Osumah TS, Jimbo M, Granberg CF, Gargollo PC. Frontiers in pediatric testicular torsion: An integrated review of prevailing trends and management outcomes. J Pediatr Urol. 2018;14(5):394–401.
Naouar S, Braiek S, El Kamel R. Testicular torsion in undescended testis: A persistent challenge. Asian J Urol. 2017;4(2):111–115.
Nassiri N, Zhu T, Asanad K, Vasquez E. Testicular Torsion From Bell-clapper Deformity. Urology. 2021;147:275.
Bowlin PR, Gatti JM, Murphy JP. Pediatric Testicular Torsion. Surg Clin North Am. 2017;97(1):161–172.
Zhong H, Bi Y. Pediatric Trauma-Induced Testicular Torsion: A Surgical Emergency. Urol Int. 2021;105(3–4):221–224.
Mellick LB, Sinex JE, Gibson RW, Mears K. A Systematic Review of Testicle Survival Time After a Torsion Event. Pediatr Emerg Care. 2019;35(12):821–825.
Laher A, Ragavan S, Mehta P, Adam A. Testicular Torsion in the Emergency Room: A Review of Detection and Management Strategies. Open Access Emerg Med OAEM. 2020;12:237–246.
Sharp VJ, Kieran K, Arlen AM. Testicular torsion: diagnosis, evaluation, and management. Am Fam Physician. 2013;88(12):835–840.
Kapp A, Troxler D, Prüfer F, Holland-Cunz S, Frech M, Gros SJ. Testicular Torsion in the Absence of Severe Pain: Considerations for the Pediatric Surgeon. Child Basel Switz. 2021;8(6):429.
Saxena A, Höllwarth M. Acute Scrotum. In: Pediatric Surgery, Diagnosis and Management. Berlin/Heidelberg: Springer; 2009. p. 928–929.
Ringdahl E, Teague L. Testicular torsion. Am Fam Physician. 2006;74(10):1739–1743.
Friedman AA, Palmer LS, Maizels M, Bittman ME, Avarello JT. Pediatric acute scrotal pain: A guide to patient assessment and triage. J Pediatr Urol. 2016;12(2):72–75.
Fantasia J, Aidlen J, Lathrop W, Ellsworth P. Undescended Testes: A Clinical and Surgical Review. Urol Nurs. 2015;35(3):117–126.
Howe AS, Vasudevan V, Kongnyuy M, Rychik K, Thomas LA, Matuskova M, et al. Degree of twisting and duration of symptoms are prognostic factors of testis salvage during episodes of testicular torsion. Transl Androl Urol. 2017; 6(6):1159166–1151166.
Cheng X, Chan LK, Cai H, Zhou D, Yang X. Adaptions and perceptions on histology and embryology teaching practice in China during the Covid-19 pandemic. Transl Res Anat. 2021;24:100115.
DOI: https://doi.org/10.37905/jmhsj.v2i2.21818
Refbacks
- There are currently no refbacks.
Jambura Medical and Health Science Journal (JMHSJ) has been indexed by:
 |  |  |  |
| Editorial Office |
Medical Faculty Building, 1st Floor Jl. Jend. Sudirman No.6, Kota Gorontalo, Gorontalo, 96128, Indonesia.Whatsapp: +6285233215280 Email: jmhsj@ung.ac.id |
 |