Prenatal testicular torsion: sonographic appearance in the newborn infant

The prenatal diagnosis of spermatic cord torsion is often really difficult and the diagnosis is usually retrospective. Herein, we report a case of a male newborn baby who presented at delivery with an enlarged, swollen and tender scrotum. US showed an enlarged right testis, with dishomogeneous textu...

Full description

Saved in:
Bibliographic Details
Published in:European radiology 2001-01, Vol.11 (12), p.2589-2592
Main Authors: Ricci, P, Cantisani, V, Drudi, F M, Carbone, I, Coniglio, M, Bosco, S, Cozzi, D
Format: Article
Language:English
Subjects:
Adult
Babies
Edema
Female
Humans
Infant, Newborn
Male
Necrosis
Patients
Pediatrics
Pregnancy
Pregnancy Trimester, Third
Spermatic Cord Torsion - congenital
Spermatic Cord Torsion - diagnostic imaging
Spermatic Cord Torsion - pathology
Testicular Hydrocele - congenital
Testicular Hydrocele - diagnostic imaging
Testicular Hydrocele - pathology
Testis - diagnostic imaging
Testis - pathology
Ultrasonography, Doppler, Color
Ultrasonography, Prenatal
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The prenatal diagnosis of spermatic cord torsion is often really difficult and the diagnosis is usually retrospective. Herein, we report a case of a male newborn baby who presented at delivery with an enlarged, swollen and tender scrotum. US showed an enlarged right testis, with dishomogeneous texture, fluid collection between the testis and the tunica vaginalis and large hydrocele. Differential diagnosis included hydrocele complicated by infection or hemorrhage, testicular tumor or postnatal testicular torsion. Color and power Doppler did not reveal any flow signal, and the diagnosis of antenatal torsion with initial necrosis was made. The role of color Doppler US is emphasized in directing the patient to emergency surgical exploration, when testicular salvage may be possible. Delayed surgical treatment can be proposed, when the diagnosis of antenatal torsion has a high degree of certainty. However, the Doppler examination of a newborn baby's testis is a very difficult challenge even for an experienced radiologist.
ISSN:0938-7994
1432-1084
DOI:10.1007/s003300100868