Department of Surgery, Edo University, Iyamho, Nigeria.
Niger J Clin Pract. 2021 May;24(5):786-788. doi: 10.4103/njcp.njcp_432_20.
Testicular torsion leads to loss of blood supply to the testes due to the twisting of the spermatic cord and its contents, necessitating urgent surgical intervention to salvage the affected testis. Testicular loss from missed diagnosis and delayed referral is preventable, especially when patients present early to first contact health care workers. This makes having the correct diagnostic knowledge for testicular torsion by these first contact healthcare providers a very essential determinant of its overall outcome. Two cases of testicular torsion are presented here. Their diagnoses were missed and referrals were delayed despite presenting within three hours of onset of symptoms. It led to the removal of the affected testis in both patients. This case series emphasizes the need to regard every testicular pain in children and young adults as testicular torsion until proven otherwise and highlights the importance of training the first contact health care providers on recognition and prompt intervention or referral of patients with testicular torsion.
睾丸扭转导致精索及其内容物扭转，导致睾丸血液供应丧失，因此需要紧急手术干预以挽救受影响的睾丸。如果诊断错误和延迟转诊，睾丸可能会丧失，特别是当患者早期到第一接触医疗保健工作者就诊时。因此，第一接触医疗保健提供者具备正确的睾丸扭转诊断知识对于其整体结果至关重要。本文介绍了两例睾丸扭转病例。尽管他们在症状发作后 3 小时内就诊，但仍被误诊且转诊延迟，最终导致双侧睾丸切除。本病例系列强调需要将儿童和年轻男性的每一例睾丸疼痛都视为睾丸扭转，直到有其他证据为止，并突出了培训第一接触医疗保健提供者识别、及时干预或转诊睾丸扭转患者的重要性。
