It also avoids any chance of iatrogenic torsion of testis
while doing closed reduction, which needs postreduction Doppler to exclude it .
In a study conducted by NA Watkin et al., torsion of testis was the commonest diagnosis of 39.5%.4 Torsion of testicular appendage was 29% and epididymo-orchitis was 15%, remaining 16% consisted of other scrotal condition.
Thus emphasizing the importance of time factor and early scrotal exploration in suspected cases of torsion of testis.
Presence of red flag symptoms should raise early suspicion * Lethargy and listlessness (intussusception, obstructed inguinal hernia) * Inconsolability (obstructed inguinal hernia, torsion of testis) * Severe abdominal pain or distension (malrotation, intussusception) * Persistent vomiting (pyloric stenosis) * Bile-stained vomit (green) (malrotation, intussusception) * Projectile vomiting (pyloric stenosis) * High fever (appendicitis, mastoiditis) * Blood in the vomit * Abnormal discolouration of skin over lumps and bumps (obstructed inguinal hernia, mastoiditis) * Blood in stool (intussusception) Common surgical presentations in children
(viii) Which of the following statements about torsion of testis are true?
Testis tumor in an adult presenting with torsion of testis
. Urology 1993;42:453-4http://dx.doi.org/10.1016/0090-4295(93)90385-N.
Torsion of testis
: Characterised by sudden onset of severe testicular pain with nausea and vomiting followed by swelling of the testis.
Out of 13 varicocles, 6 varicoceles are diagnosed as associated findings in various clinical diagnosis like hydrocele, torsion of testis, orchitis, epididymo-orchitis and testicular atrophy and infertility.
Out of 4 diagnosed cases of epididymitis on color Doppler ultrasound, 3 were having epididymitis, one case which was false positively diagnosed proved surgically as torsion of testis with relative hyperaemia of epididymis.
DISCUSSION: Patient with giant inguinoscotal hernia present with difficutly in walking, sitting and lying down, difficulty in voiding due to buried penis, or complications like scrotal skin ulceration, intestinal obstruction and torsion of testis
Acute scrotal swelling in children often indicates torsion of testis
until proved otherwise.
INTRODUCTION: Torsion of testis
and epididymoorchitis, are the leading causes of acute scrotum in children.