Failed salvage of late presentation adult testicular torsion: cases discovered on serial testicular scintigraphy

Scrotal cystic mass as a late presentation of neonatal testicular torsion

Formosan Journal of Surgery ◽

10.1016/j.fjs.2011.11.006 ◽

2012 ◽

Vol 45 (1) ◽

pp. 29-32 ◽

Cited By ~ 2

Author(s):

Jiun-Siang Tan ◽

Sheng-Hong Tseng ◽

Tzung-Hsien Lai ◽

Chia-Chi Weng ◽

Chun-Yu Kao ◽

...

Keyword(s):

Testicular Torsion ◽

Late Presentation ◽

Cystic Mass

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116 An Assessment of Current Practice for Suspected Paediatric Testicular Torsion

British Journal of Surgery ◽

10.1093/bjs/znab259.1069 ◽

2021 ◽

Vol 108 (Supplement_6) ◽

Author(s):

J Gibb ◽

O Babawale ◽

D Hodgson ◽

R Harrison

Keyword(s):

Testicular Torsion ◽

Current Practice ◽

Late Presentation ◽

Paediatric Surgery ◽

Late Presenters ◽

Number Of Children ◽

Atypical Features ◽

Senior Clinician ◽

Atypical Presentations ◽

Immediate Surgery

Abstract Aim British Paediatric surgery guidelines (2019) state ‘immediate surgery should be performed if testicular torsion is suspected’. However, imaging ‘may be considered for a small number of children under the guidance of a senior clinician in late presenters or in those with atypical features. This study reviewed current practice in our hospital. Method Boys aged 16 and under in 2017-2019 who underwent scrotal exploration for suspected testicular torsion were reviewed. Outcomes assessed were number having ultrasound prior to theatre, pathological findings, number who had an orchidectomy, and post-op complications. Additionally, all testicular ultrasounds in those aged under 16 were screened to establish how many were requested for possible or missed torsion. Results 46 patients underwent surgical exploration of which 18 had a confirmed torsion. Six patients had imaging prior to surgery, of which five suggested torsions and four of these were confirmed in theatre. 202 boys under 16 had a testicular ultrasound; 26 of these were for late presentation or those with atypical features of torsion. Three underwent scrotal exploration two of whom had reports suggestive of torsion which was confirmed on exploration. Conclusions Most testicular torsions occur around the age of puberty with no torsion identified in patients under 10. Ultrasound is a useful tool for identification of vascularity or alternative pathology in late or atypical presentations of torsion; but does not replace clinical judgement. Imaging may have prevented unnecessary exploration in 23 cases, although negative imaging did not always preclude exploration.

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Testicular Torsion More Common at Puberty

Pediatric News ◽

10.1016/s0031-398x(06)71404-7 ◽

2006 ◽

Vol 40 (10) ◽

pp. 42 ◽

Cited By ~ 1

Author(s):

MARY ELLEN SCHNEIDER

Keyword(s):

Testicular Torsion

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Late Presentation of Supracondylar Fracture of the Humerus in Children

Yearbook of Hand and Upper Limb Surgery ◽

10.1016/s1551-7977(08)70058-x ◽

2006 ◽

Vol 2006 ◽

pp. 77-78

Author(s):

C. Carroll

Keyword(s):

Late Presentation ◽

Supracondylar Fracture

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Late Presentation of Penetrating Ulcers at the Ascending Aorta Associated With Intra-Mural Haematoma

Journal of Surgical Case Reports and Images ◽

10.31579/2690-1897/015 ◽

2020 ◽

Vol 3 (2) ◽

pp. 01-05

Author(s):

Ayman Kenawy

Keyword(s):

High Risk ◽

Disease Progression ◽

Surgical Repair ◽

Surgical Intervention ◽

Late Presentation ◽

Ascending Aorta ◽

Chronic Type ◽

Penetrating Aortic Ulcer ◽

Good Outcome ◽

Pseudo Aneurysm

The combined pathology of intra-mural haematoma (IMH) and penetrating aortic ulcer (PAU) represents disease progression of the PAU with high risk for further progression to either rupture or pseudo-aneurysm formation, and hence surgical intervention should be offered once diagnosis is made regardless of the presentation. We present a 70-year-old fit lady with chronic type A IMH associated with multiple PAUs, diagnosed incidentally, the patient underwent urgent surgical repair with good outcome.

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