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    Go to the top of the page   ID: 20030303174115 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    | The Authors | Discussion | Write a Comment to this Case |
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    Mesorchial testicular torsion
    Dirk Schaper, V Hofmann. Mesorchial testicular torsion. PedRad [serial online] vol 3, no. 3.
    URL: www.PedRad.info/?search=20030303174115


     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Dirk Schaper, V. Hofmann (Halle/S.)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    8 Years  

     
     Pediatric Radiology CasesGender:

    Male  

     
     Pediatric Radiology CasesRegion-Organ:

    Pelvis-Testis  

     
     Pediatric Radiology CasesMost likely etiology:

    physical  

     
     Pediatric Radiology CasesHistory:

    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.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

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

     
     Pediatric Radiology CasesRadiological findings:


    Ultrasound 1 <- 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.




    Ultrasound 2 <- view Ultrasound 2

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





    OP-Situs 1 <- view OP-Situs 1

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





    OP-Situs 2 <- view OP-Situs 2

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

     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Testicular separation without torsion.  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

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

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

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

     
     Pediatric Radiology CasesKeywords:

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

     
     Pediatric Radiology Cases Cite this article:

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

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Pelvis-Testis
    or in the region: Pelvis
    or in the tissue/organ: Testis
    or with the etiology: physical
     
     Pediatric Radiology CasesImages to this case: There are Ultrasound-images available for this case. [ Ultrasound ] There are OP-Situs-images available for this case. [ OP-Situs ] View all modalities [ All ]   
     
    Mesorchial testicular torsion
    Dirk Schaper, V Hofmann. Mesorchial testicular torsion. PedRad [serial online] vol 3, no. 3.
    URL: www.PedRad.info/?search=20030303174115


     

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    Mesorchial testicular torsion
    Other cases by these authors:

    Search Dirk Schaper in Medline Dirk Schaper (43)   
    Search V. Hofmann in Medline V. Hofmann (17)   

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


     

    Which diagnosis have other collegues guessed?


    • Testicular torsion, intravaginal
      Votes: 4 (16 %)


    • Mesorchial testicular torsion
      Votes: 18 (72 %)


    • Epidydimitis
      Votes: 1 (4 %)


    • Orchitis
      Votes: 1 (4 %)


    • Testicular varicocele
      Votes: 1 (4 %)



        Total answers: 25

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


     

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


     




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