Journal de Chirurgie Viscérale – Vol. – N° 4 – p. – Traitement d’une torsion testiculaire – EM|consulte. 1 Aug PDF | On Feb 13, , Fanny Sauvestre and others published Torsion testiculaire. Request PDF on ResearchGate | Torsion testiculaire périnatale: à propos de dix cas | Perinatal testicular torsion (PTT) is a rare disease. Two entities have been.

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Intermittent torsion of the testis. The higher association with younger age may be secondary to delay in diagnosis in young children, who may not be able to communicate the symptoms to caregivers. If the attachment of the tunica vaginalis to the testicle is inappropriately high, the spermatic cord can rotate within it, which can lead to intravaginal torsion. Role of Doppler ultrasonography in the triage of acute scrotum in the emergency department.

Torsion du cordon spermatique et des annexes testiculaires – ScienceDirect

Treatment is by physically untwisting the testicle, if possible, followed by surgery. The aim of this study is to recall the different etiopathogenic and histological features of this disease, to highlight the difficulties of diagnosis and discuss treatment modalities and finally to establish a treatment protocol of PTT. Clinical predictors for testicular torsion as seen in the pediatric ED.

Pampiniform plexus, which ultimately forms the testicular vein. Generally good with rapid treatment [1]. Transverse color Doppler image of the left festiculaire illustrates an undescended testicle without flow. You may thus request that your data, should it be inaccurate, incomplete, unclear, outdated, not be used or stored, be corrected, clarified, updated or deleted.

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Success in the management of spermatic cord torsion is measured by immediate testicular salvage and the incidence of late testicular atrophy. Outline Masquer le plan. Access to the text HTML. Legrand bM.


Physically untwisting the testicle, surgery [1]. Testicular salvage is most likely if the duration of torsion is less than hours. The twisting of torsuon testicle causes venous occlusion and engorgement as well as arterial ischemia and infarction of the testicle.

From Wikipedia, the free encyclopedia. It is thought that the increased weight of the testicle after puberty, as well as sudden contraction of the cremasteric muscles which inserts in a spiral fashion into the spermatic cordis the impetus for acute torsion.

Testicular torsion

Testiculaaire scanning of the scrotum is the most accurate, imaging technique, but it is not routinely available, particularly with the urgency that might be required. Its appearance is similar to that of testicular torsion but the onset of pain is more gradual. Mild pyrexia and redness of overlying area may be found. Lobules of epididymis 4.

The main clinical symptom was the scrotal swelling. Neonates experiencing such a torsion present with scrotal testicupaire, discoloration, tofsion a firm, painless mass in hesticulaire scrotum. With mature attachments, the tunica vaginalis is attached securely to the posterior lateral aspect of the testicle, and, within it, the spermatic cord is not very mobile.

Unlike other torsions, however, the cremasteric reflex is still active. The tunica vaginalis attaches to the posterolateral surface of the testicle and allows for little mobility of the testicle within the scrotum. West J Emerg Med. Elsevier About ScienceDirect Remote access Shopping cart Contact and support Terms testicuulaire conditions Privacy policy We use cookies to help provide and enhance our service and tailor content and ads.

Access to the full text of this article requires a subscription. An evolution of orchiopexy: Anatomy The testes are paired ovoid structures that are housed in the scrotum and positioned so that the long axis is vertical. Detection of normal intratesticular perfusion using color coded duplex sonography obviates need for scrotal exploration in patients with suspected testicular torsion. See Male Reproductive Organ Anatomy.

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Its classical clinical pattern is that of an acute-onset ipsilateral scrotal pain. A larger testicle either due to normal variation or a tumor increases the risk of torsion. Testicular torsion, or more probably impending testicular infarctioncan also produce a low-grade fever. Top of the page – Article Outline.

Aug 31, Author: This hypothesis is based upon knowledge of the blood-testis barrier, which isolates the luminal compartment of the seminiferous tubule; animal studies in which researchers induced experimental allergic orchitis; and comparison of contralateral testicular disease to sympathetic ophthalmia, a cell-mediated immune response. Some of the symptoms are similar to epididymitis though epididymitis may be characterized by discoloration and swelling of the testis, often with feverwhile the cremasteric reflex is usually present.

Archived from the original on 3 January For normal development and optimal sperm production, the testis must descend from its original position near the kidney into the scrotum. This defect is referred to as the bell clapper deformity.

Long-term influence of prepubertal testicular torsion on spermatogenesis. It is also believed that torsion occurring during fetal development can lead to so-called neonatal torsion or vanishing testisand is one of the causes of an infant being born with monorchism one testicle. Acute scrotum in children: Testicluaire torsion which occurs outside of the tunica vaginaliswhen the testis and gubernaculum can rotate freely, is termed an extravaginal testicular testiculairw.