Aggiornamento monografico
Lo scroto acuto: diagnosi clinica o diagnosi peroperatoria?
ACUTE TESTICULAR PAIN
L. CUCCHI, A. COCI, R. DAMONTE, F. CACCIA, R. PUERARI, M.L. RUZZA, P. PELLEGRINI
Scuola di Specialità in Chirurgia Pediatrica, Ospedale S. Carlo Borromeo, Dipartimento Materno-Infantile, Università di Milano
Aprile 1998 - pagg. 223 -226
Abstract
The Authors present their personal experience
in managing children with acute testicular
pain. They performed a surgical exploration
in 50 children with acute testicular
pain, who had been consecutively seen
in their department during the last ten
years. All but two (for which the final diagnosis
was orchitis) had torsion of the testes
or of the appendix testis.
They conclude that the most frequent cause
of acute testicular pain during childhood is
the torsion of the testes or of appendix testis,
while orchitis is very rare. Since the clinical
presentation can not safely differentiate
orchitis from testicular torsion, the
Authors recommend that all children with
acute testicular pain undergo surgical exploration.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
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2. Chiaramonte C, Cigna RM, Conti F, Lo Gaglio C, De Grazia E: Orchiepididimite da reflusso uretro-deferenziale in neonato con stenosi dell’uretra. Rassegna Italiana di Chirurgia Pediatrica vol. 31, 4, 326-8, 1989.
3. Leape LL: Torsion of the testis. In: Welch KJ, Randolph JG, Ravitch MM, O’Neill JA Jr, Rowe MI: Pediatric Surgery vol. 2, 1330-4, Year Book Medical Publishers Inc. Chicago- London, 1986.
4. Hadziselimovic F, Herzog B: Andrological problems in adolescence. Ther Umsch 51, 5, 305-13, 1994.
5. Tryfonas G, Violuki A, Trikopuolos G, Autzoglou P, Zioutis J et al: Late postoperative results in male treated for testicular torsion during childhood. J Ped Surg 29, 4, 553-6, 1994.
6. Meza MP, Amundson GM, Aquilina JW, Reitelman G: Color-flow imaging in children with clinically suspected testicular torsion. Pediatric Radiology 22, 5, 370-3, 1992.
7. Malossini G, Curti P, Comunale L, Bianchi G, et al: Spermatic cord torsion. Arch Esp Urol 45, 1, 5-10, 1992.
8. Mishriky SF, Winkle DC, Frank JD: Fixation of a single testis: always, sometimes or never. Brit J Urol 69, 3, 311-3, 1992