Ahmed Sally J, Kaplan George W, DeCambre Marvalyn E
University of California, San Diego, USA.
J Pediatr Surg. 2008 Aug;43(8):1563-5. doi: 10.1016/j.jpedsurg.2008.03.056.
Perinatal testicular torsion is an infrequent event, the management of which has been controversial. Occurrence is rare, estimated at 1 in 7500 newborns (Kaplan, G. W., Silber, I.: Neonatal torsion--to pex or not? In: Urologic surgery in neonates and young infants. Edited by King, L.R. Philadelphia: W.B. Saunders Co., 1988; Chapter 20, pp. 386-395). The frequency of bilateral perinatal torsion is up to 22% (J Urol. 2005;174:1579). Here, we describe two cases of bilateral asynchronous perinatal torsion, in which the only presenting abnormality on exam after birth was a unilateral scrotal mass. These cases illustrate that contralateral perinatal torsion may be present even when physical exam findings suggest unilateral involvement.
围产期睾丸扭转是一种罕见的情况，其治疗一直存在争议。发病率很低，估计为7500例新生儿中有1例（卡普兰，G.W.，西尔伯，I.：新生儿扭转——是否进行固定？见：《新生儿和幼儿泌尿外科手术》。金，L.R.编辑。费城：W.B.桑德斯公司，1988年；第20章，第386 - 395页）。双侧围产期扭转的发生率高达22%（《泌尿外科杂志》。2005年；174:1579）。在此，我们描述两例双侧不同步围产期扭转病例，其中出生后检查时唯一出现的异常是单侧阴囊肿块。这些病例表明，即使体格检查结果提示单侧受累，对侧也可能存在围产期扭转。
