Cavuşoğlu Yusuf Hakan, Karaman Ayse, Karaman İbrahim, Erdoğan Derya, Aslan Mustafa Kemal, Varlikli Onursal, Çakmak Özden
Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, Altindağ, Ankara, Turkey.
Indian J Pediatr. 2005 Mar;72(3):201-203. doi: 10.1007/BF02859255.
Acute scrotal pain is a common urological emergency. Urgent exploration is the standard means of management, since no investigation can confidently exclude torsion of testis from the differential diagnosis.
A review of all boys presenting with acute scrotal pain who underwent emergency scrotal exploration between January 1983 and March 2003 was performed.
195 boys were included in this study. They were divided into 3 groups: group 1-73 with epididymo-orchitis, group 2-63 with torsion of testicular appendages and group 3-57 with spermatic cord torsion. The patients in group 2 were older than group 1, also patients in group 1 were older than group 3. During neonatal period the most common pathology was spermatic cord torsion, whereas in prepubertal period torsion of appendages was more common. In all boys, mean duration of pain at presentation was 2.11 days. Epididymo-orchitis was diagnosed in 37% of patients, with torsion of the appendages being the next most common entity. Testicular torsion was diagnosed in 29% of patients. In the group with testicular torsion salvage rate of testis was 37% because of late admission. The perioperative morbidity and mortality was not seen in any of the groups.
We believe that any boy with acute scrotal pain and any suspicion of testicular torsion in physical examination must be applied routine surgical exploration.
急性阴囊疼痛是常见的泌尿外科急症。紧急探查是标准的治疗手段，因为没有任何检查能确切排除睾丸扭转在鉴别诊断中的可能性。
对1983年1月至2003年3月间因急性阴囊疼痛接受急诊阴囊探查的所有男孩进行回顾性研究。
本研究纳入了195名男孩。他们被分为3组：第1组73例为附睾炎，第2组63例为睾丸附件扭转，第3组57例为精索扭转。第2组患者比第1组年龄大，第1组患者比第3组年龄大。新生儿期最常见的病理情况是精索扭转，而青春期前则以附件扭转更为常见。所有男孩就诊时疼痛的平均持续时间为2.11天。37%的患者被诊断为附睾炎，其次最常见的是附件扭转。29%的患者被诊断为睾丸扭转。在睾丸扭转组中，由于就诊延迟，睾丸挽救率为37%。所有组均未出现围手术期发病率和死亡率。
我们认为，任何患有急性阴囊疼痛且体检怀疑有睾丸扭转的男孩都必须进行常规手术探查。
