Testicular torsion in neonates Essay Example | Topics and Well Written Essays - 1500 words

Testicular torsion in neonates - Essay Example However, intravaginal torsion testis has also been reported in neonates (Burge). Most of the cases of  torsion testis detected in the new born period are believed to occur inutero (2). Torsion testis  occurs due to loose attachments of the tunica to the scrotal wall (4). It is associated with high birth weight (5). Most of the times, it is unilateral and may be associated with undescended testis. Baby of Gracy Thomas was noticed to have swelling and redness at the right half of the scrotum, 12 hours after birth. The baby was born full term by normal delivery. The birth weight was 3.5 kg. Antenatal scans were normal. On examination, there was redness and swelling over the right testis. No ecchymoses were noted on the skin of the scrotum. The testis was tender, firm and hard to feel. The opposite testis appeared normal. The vital signs were stable and other systems examination was normal. A diagnosis of torsion of the right testes was made and an emergency Doppler ultrasound arranged. Doppler study revealed gross swelling of the testis along with heterogeneous echogenicity. Subtunica fluid was noted and Doppler was absent. This confirmed the diagnosis of torsion testis. The baby was taken in for surgery immediately. On exploration during surgery, there was no evidence of necrosis of the affected testis. Incision of the right testis caused bleeding suggesting the viability of the testis. Detorsion of the right testes was done following which it was fixed to the scrotal wall. Also, orchidopexy of the opposite testis was also undertaken. Intra-operative Doppler study revealed return of blood supply to the testes, thus proving the success of detorsion. Post-sugery, the baby was stable. He was discharged after 2 days and asked to return after a week for follow up. On follow up, examination of the testes were normal. Neonatal testicular torsion can be divided