Which history is characteristic of testicular torsion among neonates?

Updated: Aug 31, 2018
  • Author: Oreoluwa I Ogunyemi, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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Answer

In neonates, prenatal extravaginal torsion presents as a hard, nontender testis that is fixed to the overlying discolored scrotal skin. It is thought that unilateral absence of the testicle with blind-ending vessels is a manifestation of early in utero torsion as hemosiderin is often found in the distal section of the spermatic cord. [4] However, if acute scrotal swelling and tenderness are present without fixation to the scrotal wall, this may represent a postnatal torsion with some hope of subsequent testicular salvage with surgical management.


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