Lee Sang Don, Cha Chang Sek
Department of Urology, Pusan National University Hospital, Busan, Korea.
J Korean Med Sci. 2002 Oct;17(5):712-4. doi: 10.3346/jkms.2002.17.5.712.
Asynchronous bilateral torsion of the spermatic cord in the newborn is extremely rare. We report such a case in a 4-day-old boy with subsequent operative discovery of prior in utero torsion of the contralateral spermatic cord. The diagnosis was made by physical examination, transillumination test, color Doppler ultrasound, and confirmed by emergent surgical exploration. To our knowledge, the present case is the 6th case of asynchronous bilateral torsion of the spermatic cord in the English literature, and the first case in Korea.
新生儿精索异步双侧扭转极为罕见。我们报告了一例4日龄男婴的此类病例,术中发现对侧精索在子宫内已有扭转。通过体格检查、透光试验、彩色多普勒超声做出诊断,并经急诊手术探查得以证实。据我们所知,本病例是英文文献中第6例精索异步双侧扭转病例,也是韩国首例。