Perinatal testicular torsion: a case report

ABSTRACT

Torsion of the testicles is typically seen in children of prepubertal age. This condition is extremely rare in perinatal period. The perinatal diagnosis of spermatic cord torsion is often difficult. Here, we report a case of a male newborn baby who was born with swollen and erythematous scrotum. Ultrasonography showed an enlarged left testis, with a nonhomogeneous texture and a regular border, bilateral hydrocele, and septate fluid collection on the left side. Following the diagnosis of acute scrotal condition, surgical exploration was performed. The left testis was gangrened with a blue coloration because of complete extravaginal torsion. Left orchidectomy, along with a fixation of right testis were carried out. Perinatal extravaginal testicular torsion, although a rare condition, is a true immediate emergency that needs early and quick medical attention, and surgical intervention to save testicular tissue