Jung Yu Jin, Chung Jae Min
Department of Pediatrics, Kosin University Gospel Hospital, Busan, Korea.
Korean J Pediatr. 2010 Sep;53(9):852-4. doi: 10.3345/kjp.2010.53.9.852. Epub 2010 Sep 13.
Testicular torsion is rare in newborn infants. However, its frequency has increased, most of which are reported in full-term infants. We diagnosed and treated testicular torsion in an extremely low birth weight infant (ELBWI). A 2×2 cm red mass was palpable in the left groin of a 24-week-old, 745 g, male newborn at 23 days of age. Left testicular torsion was diagnosed, and emergent orchiopexy was performed. Careful physical examination is needed in cases suspicious of testicular torsion in ELBWIs with cryptorchidism. Moreover, early diagnosis and emergent exploration are necessary to prevent complications such as the risk of anorchia.
睾丸扭转在新生儿中很少见。然而，其发生率有所增加，大多数病例报告发生在足月儿中。我们诊断并治疗了一名极低出生体重儿（ELBWI）的睾丸扭转。一名24周龄、体重745克的男性新生儿在出生23天时，其左侧腹股沟可触及一个2×2厘米的红色肿物。诊断为左侧睾丸扭转，并进行了急诊睾丸固定术。对于患有隐睾症的极低出生体重儿，若怀疑有睾丸扭转，需要进行仔细的体格检查。此外，为防止诸如无睾风险等并发症，早期诊断和急诊探查是必要的。
