Halidou Maazou, Roua Amadou, Amadou Magagi Ibrahim, Adamou Harissou, Adakal Ousseini, Rouga Mohamed, Amadou Soumana, Sani Rachid
Department of Urology, Zinder National Hospital, Zinder, Niger.
Faculty of Health Sciences, University of Zinder, Zinder, Niger.
Case Rep Urol. 2019 Dec 28;2019:5815036. doi: 10.1155/2019/5815036. eCollection 2019.
. Intra-abdominal testicular torsion is a rare event. We report hereby our experience of the management of a spermatic cord twist on intra-abdominal testis discovered during an acute surgical abdomen. . This was a 42-year-old patient admitted to the emergency department for abdominal pain that had been evolving for a week. The physical examination showed tenderness and guarding in the left iliac fossa with an empty ipsilateral hemiscrotum. Complementary examinations led to the discovery of an intra-abdominal left-lateral mass. The laparotomy found a whitish mass with areas of infarction, which was resected. Anatomopathological examination of the operative specimen identified it as a testis with atrophy of germ cells and necrotic areas without evidence of malignancy. . Intra-abdominal testicular torsion should be considered in case of patients with an acute surgical abdomen with vacuity of one of the bursae.
腹腔内睾丸扭转是一种罕见的情况。在此我们报告在急诊剖腹探查术中发现的腹腔内睾丸精索扭转的处理经验。这是一名42岁患者，因腹痛已持续一周而入住急诊科。体格检查发现左髂窝压痛及肌紧张，同侧阴囊空虚。辅助检查发现腹腔内左侧有一肿块。剖腹手术发现一个有梗死区域的白色肿块，将其切除。手术标本的解剖病理学检查确定为一个睾丸，有生殖细胞萎缩和坏死区域，无恶性证据。对于有急性剖腹探查指征且一侧阴囊空虚的患者，应考虑腹腔内睾丸扭转。
