AI Article Synopsis
- This case report discusses a rare condition of spermatic cord twisting in a newborn, which happened before birth and was diagnosed upon delivery.
- The baby exhibited symptoms such as a swollen right hemiscrotum, color changes, and lack of reflexes, leading to a diagnosis confirmed by ultrasound.
- Immediate surgical intervention was crucial due to potential conditions like tumors or hernias, with radical orchiectomy performed following testicular necrosis.
Article Abstract
This is a case report of extravaginal twisting of the spermatic cord in a neonate (third pregnancy, without prenatal care, obtained through iterative cesarean section), which occurred during the prenatal (in uterus) period since it was present at birth. Clinically found were: an enlargement of the right hemiscrotum, color changes (violet), induration, absence of the cremasteric reflex and no translumination. Ultrasonography showed homogeneous opaqueness of the right scrotal pouch. Right radical orchiectomy was carried out after finding testicular necrosis. The differential diagnosis includes: tumor, hematocele, testicular twist of the epidydimus appendexes, incarcerated hernia, scrotal abscess, supradrenal gland or ectopic spleen and the twisting of the spermatic cord. All of these conditions require immediate surgical exploration through the inguinal region in order to obtain a correct diagnosis and give prompt treatment. If there is twisting, contralateral fixation is necessary.
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