Güneş Mustafa, Umul Mehmet, Çelik Ahmet Orhan, Armağan Hamit Hakan, Değirmenci Bumin
Department of Urology, Faculty of Medicine, Süleyman Demirel University, Isparta, Turkey;
Department of Radiology, Faculty of Medicine, Süleyman Demirel University, Isparta, Turkey;
Can Urol Assoc J. 2015 Sep-Oct;9(9-10):E676-8. doi: 10.5489/cuaj.2849. Epub 2015 Sep 9.
A 17-year-old boy presented with right testicular torsion to the lateral side. Torsion was diagnosed by physical examination; the colour Doppler ultrasonography (CDU) confirmed right testicular torsion with minimal peripheral hydrocele. Transverse and longitudinal examination of the spermatic cord with ultrasound and CDU revealed a counter-clockwise testicular torsion. Manual de-torsion was performed in a clockwise direction (720o) and testicular blood flow and the neutral position of the spermatic cord were confirmed by CDU. We did not encounter a residual twist of the spermatic cord upon surgical exploration. In our experience, ultrasound and CDU may predict the direction of testicular torsion and may allow appropriate management of cases prior to surgery.
一名17岁男孩出现右侧睾丸向外侧扭转。通过体格检查诊断为扭转；彩色多普勒超声（CDU）证实右侧睾丸扭转并伴有少量外周鞘膜积液。超声和CDU对精索进行横切和纵切检查显示睾丸逆时针扭转。以顺时针方向（720°）进行手法复位，CDU证实睾丸血流及精索恢复到中立位置。手术探查时我们未发现精索有残余扭转。根据我们的经验，超声和CDU可预测睾丸扭转方向，并可在手术前对病例进行适当处理。
