Open AccessAn unusual case of intra-abdominal testicular torsion: Role of laparoscopy
Author(s) -
Alfonso Papparella,
Fabiano Nino,
Sandra Coppola,
Pio Parmeggiani
Publication year - 2013
Publication title -
african journal of paediatric surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.163
H-Index - 17
eISSN - 0189-6725
pISSN - 0974-5998
DOI - 10.4103/0189-6725.109386
Subject(s) - medicine , laparoscopy , testicular torsion , orchiectomy , testicular atrophy , spermatic cord , pelvis , spermatic cord torsion , torsion (gastropod) , testicular pain , surgery , general surgery , radiology
The authors report a case of intra-abdominal testicular torsion, where laparoscopy has been useful for diagnosis and surgical management. A boy was presented with a left impalpable testis. Laparoscopy revealed a twisted spermatic cord at the inlet pelvis, which ended in a testicular remnant located in the sub-umbilical area. After orchiectomy, the pathologist confirmed testicular atrophy. Diagnosis of intra-abdominal testicular torsion should be considered in patients with impalpable testis and abdominal pain, but could not be excluded in those with no symptoms.