Đặc điểm lâm sàng và siêu âm xoắn tinh hoàn chu sinh báo cáo loạt ca và hồi cứu y văn

Perinatal testicular torsion clinical and sonographics findings

SUMMARY

Objective: Perinatal testicular torsion either occurring prenatally in utero or postnatally in the first month of life, is surgical emergency with hope salvaging of testis. A challenge to clinicians and radiologist. With sonographics findings as small size of testis, heterogenous echostructure, thickened tunica albuginea with rim hyperechoic (calcification), to suggest testicular torsion.

Methods: Cases report

Results: From January 2015 to May 2019, we had 11 patients with perinatal testicular torsion introduced into the study batch. The average age is 8.2 days. One song twists on two sides, on the left 7 shifts. The time of detection after birth, an average of 1.5 days, no cases of prenatal ultrasound were detected. The average time of hospital admission is 17 days. 100% normal birth, full month.Ultrasound signs: testicular big size 7/12 (58.3%), heterogeneous parenchyma structure 11/12 (91.7%), calcareous membrane calcification 2/12 (16.6%), hydrocephalus, heterogeneous fluid, 7/12 fibrin (58.3%), enlarged stalks, edema 3/12 (25%). Mark Whirpool positive 8/12 (67%), central blood loss 11/12 (91.7%). The rate of testicular removal is 10/12 (83.3%).

Conclusions: Twisted perinatal testicular, rare surgical emergency, causes purple swelling of the scrotum and requires early diagnosis and surgical intervention. High-value color doppler ultrasound determines testicular twisting and eliminates the causes of swelling and pain in the scrotum.

Keywords: testicular torsion, neonate, ultrasound.