Korean J Urol.  2008 Oct;49(10):957-960. 10.4111/kju.2008.49.10.957.

Neonatal Testicular Torsion Mimicking a Testicular Tumor

Affiliations
  • 1Department of Urology, Kosin University College of Medicine, Korea.
  • 2Department of Urology, College of Medicine, Pusan National University, Busan, Korea. lsd@pusan.ac.kr

Abstract

The large, hard, non-tender features of neonatal testicular torsion may sometimes lead to the misdiagnosis of a testicular tumor. The authors present the case of a 1-week old male neonate in whom the differential diagnosis between testicular torsion and a tumor proved difficult. Based on serial physical examinations and serial color Doppler ultrasonography findings, the initial diagnosis was a testicular tumor with/without torsion and a concomitant communicating hydrocele. However, the intraoperative findings did not support the existence of testicular torsion. A left radical orchiectomy and contralateral orchiopexy with herniorrhaphy were undertaken, but somewhat surprisingly, the final pathologic findings demonstrated a left testicular torsion.

Keyword

Neonate; Testicular torsion; Testicular cancer

MeSH Terms

Male
Infant, Newborn
Humans
Diagnosis, Differential

Reference

References

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