Lo scroto acuto: diagnosi clinica o diagnosi peroperatoria?
L. CUCCHI, A. COCI, R. DAMONTE, F. CACCIA, R. PUERARI, M.L. RUZZA, P. PELLEGRINI
Scuola di Specialità in Chirurgia Pediatrica, Ospedale S. Carlo Borromeo, Dipartimento Materno-Infantile, Università di Milano
ACUTE TESTICULAR PAIN
Key words: Acute testicular pain, Torsion of the testes, Orchitis, Epididymitis, Torsion of the appendix testis
The Authors present their personal experience
in managing children with acute testicular
pain. They performed a surgical exploration
in 50 children with acute testicular
pain, who had been consecutively seen
in their department during the last ten
years. All but two (for which the final diagnosis
was orchitis) had torsion of the testes
or of the appendix testis.
They conclude that the most frequent cause
of acute testicular pain during childhood is
the torsion of the testes or of appendix testis,
while orchitis is very rare. Since the clinical
presentation can not safely differentiate
orchitis from testicular torsion, the
Authors recommend that all children with
acute testicular pain undergo surgical exploration.