torsion of testis was the commonest diagnosis of 39.
Thus emphasizing the importance of time factor and early scrotal exploration in suspected cases of torsion of testis.
viii) Which of the following statements about torsion of testis are true?
Surgical conditions tend to be age specific (adapted from Davenport, 1996) Infants up to one week old * Gastrointestinal atresias (eg, duodenal atresia) * Malrotation of the gut * Meconium ileus (delay in passage of meconium >48 hours after birth) * Hirschsprung's disease (delay in passage of meconium >48 hours after birth) * Hypospadias * Undescended testis * Hydrocele Infants up to two months old * Gastro-oesophageal reflux disease (most cases need medical management) * Pyloric stenosis * Inguinal hernia * Umbilical hernia Infants up to one year old * Intussusception * Inguinal hernia Older children * Appendicitis * Torsion of testis * Mastoiditis * Intussusception (usually have an identifiable cause eg, Henoch-Schonlein purpura) Table 2.
Testis tumor in an adult presenting with torsion of 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.