Giacomantonio M, Lau H
Can J Surg. 1981 Jan;24(1):14-5, 18.
Torsion of the testicle in the neonate is uncommon. Only nine cases were seen in a 10-year period at the Izaak Walton Killam Hospital for Sick Children in Halifax, Nova Scotia. The authors describe briefly five of their cases to exemplify the features of and problems associated with this condition. They emphasize that (a) a reddish blue, nontender, scrotal or hemiscrotal swelling in the neonate should be considered as torsion of the testicle until proven otherwise and (b) torsion of the testicle in the neonate is a surgical emergency. If testicular tissue is to be saved urgent scrotal exploration is mandatory. The torsion may occur in utero (as is the usual case), at time of birth or post partum, but the time of occurrence cannot be judged. Finally, the authors discuss some of the controversies in the surgical management of this entity, including the surgical approach and management of the contralateral hemiscrotum.
新生儿睾丸扭转并不常见。在新斯科舍省哈利法克斯的伊萨克·沃尔顿·基拉姆儿童医院，10年间仅见9例。作者简要描述了他们的5例病例，以举例说明这种病症的特征及相关问题。他们强调：(a) 在新生儿中，除非另有证实，否则阴囊或半侧阴囊出现红蓝色、无压痛的肿胀应被视为睾丸扭转；(b) 新生儿睾丸扭转是外科急症。若要挽救睾丸组织，紧急阴囊探查必不可少。扭转可能发生在子宫内（通常如此）、出生时或产后，但无法判断其发生时间。最后，作者讨论了该病症外科治疗中的一些争议问题，包括手术入路及对侧半侧阴囊的处理。
