Bekele Z, Lulseged S
Ras Desta Hospital, Department of Surgery, Addis Abeba, Ethiopia.
Ethiop Med J. 1993 Jul;31(3):223-6.
The case of a neonate with scrotal swelling noted 6 hours after birth is presented. Scrotal exploration at 12 hours of age revealed a right extravaginal testicular torsion with ischemic necrosis of the testis. Intrauterine and neonatal torsion of the spermatic cord is an uncommon problem accounting for 5 to 6 percent of all cases of testicular torsion. Management controversies revolving around the questions "should the neonate with an obviously infarcted testis be explored?" and "what should be done to the testis whose viability is not reasonably certain?" have now been answered to the satisfaction of most people. This case report from Ethiopia and some aspects of the condition are discussed and attention is called to early diagnosis and appropriate intervention.
本文报告了一例出生后6小时出现阴囊肿胀的新生儿病例。患儿12小时大时进行阴囊探查，发现右侧睾丸鞘膜外扭转并伴有睾丸缺血坏死。精索的宫内及新生儿扭转是一个罕见问题，占所有睾丸扭转病例的5%至6%。围绕“对于睾丸明显梗死的新生儿是否应进行探查？”以及“对于其存活能力无法确定的睾丸应如何处理？”等问题的治疗争议，如今已得到大多数人的满意解答。本文讨论了这例来自埃塞俄比亚的病例报告以及该病症的一些方面，并呼吁重视早期诊断和适当干预。
