EC Paediatrics

Perinatal testicular torsion is described as rotation of the spermatic cord resulting in decreased vascular flow and ischemia and can occur from the prenatal period until before the first month of life. Patients with testicular torsion usually present asymptomatic, probably because most cases occur prenatally and present fewer inflammatory symptoms. The percentage of testicular salvage is low, for this reason some authors do not recommend performing emergency surgery. Some surgeons even opt for conservative treatment, but this is known to increase the risk of infection, malignancy, and production of antibodies against the contralateral testicle. We present the case of a full-term newborn with color changes and increase in size of the left hemiscrotum in whom a diagnosis of testicular torsion is corroborated by Doppler ultrasound. Bilateral testicular surgical exploration was performed, finding the left testicle completely necrotic. It was decided to perform left orchiectomy with contralateral orchidopexy due to the risk of testicular torsion at another time in the patient's life.

 Keywords: Testicle; Testicular Torsion; Neonatal Surgery; Pediatric Surgery; Emergency

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