NDLI: Do not forget to include testicular torsion in differential diagnosis of lower acute abdominal pain in young males.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Pogorelic, Zenon Mrklic, Ivana Juric, Ivo
Description	Author Affiliation: Pogorelic Z ( Department of Pediatric Surgery, Split University Hospital Centre and Split University School of Medicine, Spinciceva 1, 21 000 Split, Croatia. Electronic address: zenon@vip.hr.)
Abstract	BACKGROUND: Management and outcomes of pediatric patients with testicular torsion initially presenting as acute abdominal pain were evaluated. PATIENTS AND METHODS: The case records of 84 children operated on for testicular torsion from January 1999 through May 2012 were retrospectively reviewed. Of the total number of operated patients, 9 presented with abdominal pain but without initial scrotal pain, and only they were included in the study. The diagnosis of testicular torsion was made clinically and confirmed by Doppler ultrasound and scrotal exploration. RESULTS: The most common presenting symptoms were abdominal pain and vomiting. The patient's scrotum and testicles were not examined during the first evaluation in 6 cases, while in 3 cases the testicles were examined during the first physical examination. At surgery, 4 testes were salvaged, while 5 have been lost because of testicular necrosis. The mean duration of symptoms was 4 h in the group of salvaged testes and 39 h in the orchidectomy group. There were no major complications. CONCLUSION: Testicular torsion should always be included in differential diagnosis when evaluating lower abdominal pain in young males. The external genital organs should be examined in every child or adolescent with acute abdominal pain.
File Format	HTM / HTML
ISSN	14775131
Part	Pt B
Volume Number	9
e-ISSN	18734898
Journal	Journal of Pediatric Urology
Issue Number	6
Language	English
Publisher	Elsevier
Publisher Date	2013-12-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Urology Discipline Pediatrics Abdominal Pain Diagnosis Acute Pain Spermatic Cord Torsion Surgery Adolescent Child Child, Preschool Diagnosis, Differential Humans Infant Infant, Newborn Male Physical Examination Retrospective Studies Scrotum Spermatic Cord Ultrasonography, Doppler Vomiting Journal Article
Content Type	Text
Resource Type	Article
Subject	Urology Pediatrics, Perinatology and Child Health

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