Oluyemi O Y
Department of Surgery, Ben Carson (SNR) School of Medicice/Babcock University Teaching Hospital, Ilisan Remo, Ogun State, Nigeria.
Niger J Clin Pract. 2017 Sep;20(9):1206-1209. doi: 10.4103/njcp.njcp_358_16.
Torsion of the spermatic cord may lead to loss of the testis when presentation is delayed. In our environment, a high premium is placed on the male child and his ability to procreate. Hence, torsion of the spermatic cord is a true surgical emergency. Here, we report a case of torsion of the spermatic cord in a 19-year-old student that exemplifies early presentation and short presentation-detorsion time. Immediately after the operation, the clinical information in the patient's case file was summarized. A literature search was conducted on the subject matter, and the findings were compared with those of the present patient. The determinants of outcome include presentation time and the time between presentation and operation. Unfortunately, in many series, late presentation is still the norm. In the index patient, the presentation time was very short. In our environment, patients with torsion of the spermatic cord can present early and be operated promptly if we can provide public health education, mobile phones, commercial taxis, and good road networks.
精索扭转若延误就诊可能导致睾丸丧失。在我们所处的环境中，男孩及其生育能力备受重视。因此，精索扭转是一种真正的外科急症。在此，我们报告一例19岁学生的精索扭转病例，该病例体现了早期就诊及短就诊至扭转解除时间。手术后立即总结了患者病历中的临床信息。针对该主题进行了文献检索，并将结果与本患者的情况进行了比较。预后的决定因素包括就诊时间以及就诊至手术的时间。不幸的是，在许多系列报道中，延迟就诊仍是常态。在该索引患者中，就诊时间非常短。在我们所处的环境中，如果我们能够提供公共卫生教育、手机、商业出租车以及良好的道路网络，精索扭转患者可以早期就诊并迅速接受手术。
