Clinical evaluation of testicular torsion presenting with acute abdominal pain in young males

作     者：Fujun Wang Zengnan Mo 

作者机构：Center for Genomic and Personalized MedicineGuangxi Medical UniversityNanningGuangxiChina Department of UrologyHeze Municipal HospitalHezeShandongChina 

出 版 物：《Asian Journal of Urology》 (亚洲泌尿外科杂志（英文）)

年 卷 期：2019年第6卷第4期

页      面：368-372页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：The study was partially supported by the Medical Records Room Heze Municipal Hospital Shandong Province China 

主　　题：Acute abdominal pain Testicular torsion Young males Initial symptom Retrospective analysis 

摘      要：Objective:To evaluate the features of testicular torsion presenting with acute abdominal pain and to raise awareness of testicular torsion with specific ***:From October 2005 to June 2016,nine patients with testicular torsion who presented with isolated acute abdominal pain rather than scrotal pain as their primary symptom were retrospectively ***,including the age of patients,season at admission,initial medical history,external genital examination,emergency ultrasound findings,operative findings,duration of abdominal pain,complications,and follow-up results,were ***:The average age of patients was 14 years(range 10-17 years).Seven patients whose genitals were not initially examined externally were misdiagnosed as having ordinary abdominal *** exploration revealed that all the involved testes necrotized,and orchidectomy was *** the other two patients,scrotal and testicular abnormalities were detected immediately on admission,and emergency surgical exploration determined that the involved testis remained vital,so orchiopexy was *** mean duration from symptom onset to diagnosis was 4 h(3-5 h)in the orchiopexy group and 37 h(18-72 h)in the orchidectomy *** patients were psychologically affected during postoperative *** recurrence of testicular torsion nor testicular atrophy was ***:Acute abdominal pain can be the initial and sole symptom of testicular torsion in young *** should pay close attention to the specific clinical presentation of testicular torsion.