Journal of the Bahrain Medical Society

Year 2020, Volume 32, Issue 2, Pages 62-66

https://doi.org/10.26715/jbms.32_2020_2_10

Case Report

Perinatal Testicular Torsion - Is it a Rare Occurrence?

Jemila James1,*, Emad Shatla2, Minoosh Nasef2, Hussein Ahmed3

Author Affiliation

1Registrar NICU, Department of Pediatrics, King Hamad University Hospital, Shaikh Isa Bin Salman Causeway, Al Sayh, Bahrain
2Consultant NICU, Department of Pediatrics, King Hamad University Hospital, Shaikh Isa Bin Salman Causeway, Al Sayh, Bahrain
3Senior Registrar, Department of Pediatrics, King Hamad University Hospital, Shaikh Isa Bin Salman Causeway, Al Sayh, Bahrain

*Corresponding author:
Dr. Jemila James, Registrar NICU, Department of Pediatrics, King Hamad University Hospital, Shaikh Isa Bin Salman Causeway, Al Sayh, Bahrain; Tel. No.: (+973) 33799105; Email: drjemiben@gmail.com

Received date: January 4, 2020; Accepted date: March 30, 2020; Published date: June 30, 2020


Abstract

Clinical diagnosis of perinatal testicular torsion can be a challenging task as most of the cases area symptomatic, with no tenderness but may have slight scrotal induration and discoloration. Perinatal testicular torsion has been subdivided into prenatal and postnatal torsion (event occurring from birth to 1 month of life). Although Doppler ultrasound is frequently used as an adjunct to facilitate the diagnosis of borderline cases, it has its own limitations. Clinical features, treatment options, and fertility outcome depend on when the torsion occurs - prenatally versus postnatally – and when it is discovered. In this report, we present three cases of unilateral prenatal testicular torsion diagnosed during the routine physical examination prior to hospital discharge and advised to follow up for delayed orchiopexy of the contralateral testicle.

Keywords: Neonatal testicular torsion; Neonatal torsion; Perinatal torsion; Testis; Testicular Torsion;