Neonatal Testicular Torsion with Hydrocele: A Case Report Underscoring the Need for Early Recognition and Management
Neonatal testicular torsion (NTT) is a rare but significant condition occurring within the first 30-day postbirth, leading to vascular compromise and potential testicular loss. This paper presents a case of NTT detected incidentally in a neonate with bilateral hydrocele, emphasizing the challenge of...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2023/9979543 |
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| author | Kareem Omran Sameh Ali Ali Ehsan Ahmad Hilal Matta Wissam Jamal Al Tamr |
| author_facet | Kareem Omran Sameh Ali Ali Ehsan Ahmad Hilal Matta Wissam Jamal Al Tamr |
| author_sort | Kareem Omran |
| collection | DOAJ |
| description | Neonatal testicular torsion (NTT) is a rare but significant condition occurring within the first 30-day postbirth, leading to vascular compromise and potential testicular loss. This paper presents a case of NTT detected incidentally in a neonate with bilateral hydrocele, emphasizing the challenge of early diagnosis and management complexities. The infant underwent surgical intervention involving detorsion and bilateral orchiopexy but eventually required right orchiectomy due to necrosis. The paper highlights the prevalence of NTT in conjunction with hydrocele and stresses the importance of parent education and vigilant follow-up. Various diagnostic methods, primarily ultrasonography, and a range of management strategies are discussed, considering factors such as salvage potential, risk to the contralateral testicle, and surgical intervention’s risks and benefits. The paper argues for individualized management, taking into account specific neonate conditions and parental preferences, underlining the essential role of informed and empathetic consultation. The case reinforces the urgent need for increased awareness, early detection, and carefully considered therapeutic approaches to prevent devastating outcomes like infertility and the necessity for lifelong hormone supplementation. |
| format | Article |
| id | doaj-art-bd9ced10753d4fd188497a514aedb077 |
| institution | Kabale University |
| issn | 2090-6919 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-bd9ced10753d4fd188497a514aedb0772025-02-03T06:45:15ZengWileyCase Reports in Surgery2090-69192023-01-01202310.1155/2023/9979543Neonatal Testicular Torsion with Hydrocele: A Case Report Underscoring the Need for Early Recognition and ManagementKareem Omran0Sameh Ali Ali1Ehsan Ahmad2Hilal Matta3Wissam Jamal Al Tamr4Department of Public Health and Primary CareNMC Royal HospitalNMC Royal HospitalSurgery DepartmentNMC Royal HospitalNeonatal testicular torsion (NTT) is a rare but significant condition occurring within the first 30-day postbirth, leading to vascular compromise and potential testicular loss. This paper presents a case of NTT detected incidentally in a neonate with bilateral hydrocele, emphasizing the challenge of early diagnosis and management complexities. The infant underwent surgical intervention involving detorsion and bilateral orchiopexy but eventually required right orchiectomy due to necrosis. The paper highlights the prevalence of NTT in conjunction with hydrocele and stresses the importance of parent education and vigilant follow-up. Various diagnostic methods, primarily ultrasonography, and a range of management strategies are discussed, considering factors such as salvage potential, risk to the contralateral testicle, and surgical intervention’s risks and benefits. The paper argues for individualized management, taking into account specific neonate conditions and parental preferences, underlining the essential role of informed and empathetic consultation. The case reinforces the urgent need for increased awareness, early detection, and carefully considered therapeutic approaches to prevent devastating outcomes like infertility and the necessity for lifelong hormone supplementation.http://dx.doi.org/10.1155/2023/9979543 |
| spellingShingle | Kareem Omran Sameh Ali Ali Ehsan Ahmad Hilal Matta Wissam Jamal Al Tamr Neonatal Testicular Torsion with Hydrocele: A Case Report Underscoring the Need for Early Recognition and Management Case Reports in Surgery |
| title | Neonatal Testicular Torsion with Hydrocele: A Case Report Underscoring the Need for Early Recognition and Management |
| title_full | Neonatal Testicular Torsion with Hydrocele: A Case Report Underscoring the Need for Early Recognition and Management |
| title_fullStr | Neonatal Testicular Torsion with Hydrocele: A Case Report Underscoring the Need for Early Recognition and Management |
| title_full_unstemmed | Neonatal Testicular Torsion with Hydrocele: A Case Report Underscoring the Need for Early Recognition and Management |
| title_short | Neonatal Testicular Torsion with Hydrocele: A Case Report Underscoring the Need for Early Recognition and Management |
| title_sort | neonatal testicular torsion with hydrocele a case report underscoring the need for early recognition and management |
| url | http://dx.doi.org/10.1155/2023/9979543 |
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