Spermatic Cord Torsion and Testicular Infarction
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It is a twisting of the spermatic cord that causes an interruption of the blood flow to the testis.
Age and incidence
This is a common surgical emergency among children and adolescents, with one peak in the neonatal period and the second peak around puberty. It has an incidence of 3,8 per 100,000 males under 18 years with 65% of cases occurring between 12 and 18 years of age (Sharp et al. 2013).
Testicular torsion may be associated with trauma and some congenital conditions (incomplete testicular descent, absent gubernaculum testis, testicular atrophy, and some others).
It usually presents with severe testicular pain, often accompanied by nausea and vomiting.
Spermatic cord torsion is a surgical emergency, and it requires an immediate surgical or manual intervention to restore blood flow.
To avoid irreversible ischemic damage and the subsequent loss of the involved testis, the torsion must be treated necessarily...