Abstract
This case report evaluates the management of acute scrotal emergency in two similar cases with presenting complaints and different outcomes post-scrotal exploration. One case of young male discusses the eventual outcome of testicular torsion and importance of urgent exploration combined with careful cord examination, whilst second case was simply a hematocele requiring excision of sac. There is overall discussion of importance of scrotal exploration, even if at times it may not yield any positive findings.
Keywords: Scrotal Emergency, Testicular Torsion, Hematocele, Scrotal exploration.
References
- Davis JE, Silverman M. Scrotal Emergencies. Emerg Med Clin North Am. 2011;29(3):469-484. doi:10.1016/j.emc.2011.04.011
- Ta A, D’Arcy FT, Hoag N, D’Arcy JP, Lawrentschuk N. Testicular torsion and the acute scrotum: Current emergency management. Eur J Emerg Med. 2016;23(3):160-165. doi:10.1097/MEJ.0000000000000303
- Molokwu CN, Somani BK, Goodman CM. Outcomes of scrotal exploration for acute scrotal pain suspicious of testicular torsion: a consecutive case series of 173 patients. BJU Int. 2011;107(6):990-993. doi:10.1111/j.1464-410X.2010.09557.x
- Testicular Torsion: Practice Essentials, Anatomy, Pathophysiology. https://emedicine.medscape.com/article/2036003-overview. Accessed July 22, 2018.
- Hematocele - an overview | ScienceDirect Topics. https://www.sciencedirect.com/topics/medicine-and-dentistry/hematocele. Accessed July 22, 2018.
- Cass AS, Luxenberg M. Value of early operation in blunt testicular contusion with hematocele. J Urol. 1988. doi:10.1016/S0022-5347(17)42620-6
- White WM, Brewer ME, Kim ED. Segmental ischemia of testis secondary to intermittent testicular torsion. Urology. 2006;68(3):670-671. doi:10.1016/j.urology.2006.04.024
- Hulbert WC, Rabinowitz R, Mevorach RA. Testicular Torsion. Pediatr Clin Advis. January 2007:554-555. doi:10.1016/B978-032303506-4.10321-9
- Barada JH, Weingarten JL, Cromie WJ. Testicular salvage and age-related delay in the presentation of testicular torsion. J Urol. 1989;142(3):746-748. doi:10.1016/S0022-5347(17)38875-4
- Wampler SM, Llanes M. Common scrotal and testicular problems. Prim Care. 2010;37(3):613-26, x. doi:10.1016/j.pop.2010.04.009
- Sharp VJ, Kieran K, Arlen AM. Testicular torsion: diagnosis, evaluation, and management. Am Fam Physician. 2013;88(12):835-840. http://www.ncbi.nlm.nih.gov/pubmed/24364548. Accessed July 22, 2018.
- Vorstman B, Rothwell D. Spermatic cord torsion following previous surgical fixation. J Urol. 1982. doi:10.1016/S0022-5347(17)53204-8
- Rodriguez LE, Kaplan GW. An experimental study of methods to produce intrascrotal testicular fixation. J Urol. 1988. doi:10.1016/S0022-5347(17)42526-2
- Liang T, Metcalfe P, Sevcik W, Noga M. Retrospective review of diagnosis and treatment in children presenting to the pediatric department with acute scrotum. Am J Roentgenol. 2013;200(5):444-449. doi:10.2214/AJR.12.10036
- American Academy of Family Physicians. VJ, Kieran K, Arlen AM. American Family Physician. Vol 88. American Academy of Family Physicians; 1970. https://www.aafp.org/afp/2013/1215/p835.html#afp20131215p835-b9. Accessed July 31, 2018.
Corresponding Author
Dr Abhijit Sanjay Shah
Surgery Resident, Sir JJ Group of hospitals and Grant Medical College, Mumbai
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
Address: A/604 Shivkripa, Model Town, Andheri west, Mumbai 400053, Maharashtra, India