Dirk Schaper, V. Hofmann (Halle/S.)  

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8 Years  

Male  

Pelvis-Testis  

physical  

8 year-old boy with left-sided stomach ache, obvious pain on pressure in the left lower quadrant, the outer inguinal ring and spermatic cord inconspicuous, local pain on pressure of the left hemiscrotum.  

Pre-existing testicular separation with transversally positioned testicles ("mature turning testicles").  

<- view Ultrasound 1

Ultrasound 1: Depiction of the testicles and epididymis of both sides as a comparison. Obvious noticeable separation of the testicles and epididymis of the left side (and concurrent transversal, enlarged left testicle). Concomitant hydrocele.




<- view Ultrasound 2

Ultrasound 2: Color doppler shows vascularization in the epididymis but not in the testicle.





<- view OP-Situs 1

OP-Situs 1: Mesorchial testicular torsion. Hemorrhagic infarction of the testicle by well-vasculated epididymis and spermatic cord.





<- view OP-Situs 2

OP-Situs 2: Noticeable separation of testicles and epididymis, transversal testicular position.

 

Surgery / Histo  

Testicular separation without torsion.  

Emergency testicular exposition, since infarction and absent improvement after capsular insicion, left semicastratio.  

N/A  

N/A  

1. Medline:
J.Waldschmidt, Hamm,B., Schier,F.
Das akute Skrotum
Bibliothek für Kinderchirurgie, Stuttgart: Hippokrates-Verl., 1990, S.27-48  

Testicles, testicular torsion, testis, mesorchial testicular torsion, mesorchial, testicular torsion, abdominal pain, child, childhood, pediatric radiology  

Dirk Schaper, V Hofmann. Mesorchial testicular torsion. PedRad [serial online] vol 3, no. 3.
URL: www.PedRad.info/?search=20030303174115