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AuthorZvizdic, Zlatan
AuthorAganovic, Amila
AuthorMilisic, Emir
AuthorJonuzi, Asmir
AuthorZvizdic, Denisa
AuthorVranic, Semir
Available date2023-12-28T05:14:43Z
Publication Date2023
Publication NamePrague Medical Report
ResourceScopus
ISSN12146994
URIhttp://dx.doi.org/10.14712/23362936.2023.20
URIhttp://hdl.handle.net/10576/50646
AbstractThe acute scrotum (AS) in the pediatric population is a medical emergency. AS is usually caused by testicular torsion (TT) and torsion of the appendix testis (TAT). The current study explored which demographic and clinical characteristics can help distinguish between TT and TAT. We analyzed all children ≤16 years who underwent surgical exploration for AS. The patients were divided into Group 1/TT and Group 2/TAT. Ninety patients were included in the study (24 with TT and 66 with TAT). The peak incidence of TT was significantly higher than in the TAT group (p<0.001). Scrotal pain was more prevalent in the TAT group (p=0.02), whereas systemic signs (nausea/vomiting and abdominal pain) affected more frequently the TT patients (p=0.003 and p<0.001, respectively). The duration of symptoms was significantly longer in the TAT group (p<0.001). The duration of symptoms in the TT cohort significantly impacted the testicular salvage (p=0.008). Color Doppler ultrasound (CDUS) findings of absent/decreased testicular blood flow in the affected testis strongly favored the diagnosis of TT (p<0.001). The older age, shorter duration of symptoms, systemic signs, and CDUS findings can help distinguish between the two most common acute scrotum causes.
Languageen
PublisherKarolinum - Nakladatelstvi Univerzity Karlovy
SubjectAcute scrotum
Children
Testicular torsion
Torsion of the appendix testis
TitleThe Role of Demographic and Clinical Characteristics in Distinguishing Testicular Torsion from Torsion of the Appendix Testis: A Single-center Retrospective Study
TypeArticle
Pagination255-264
Issue Number3
Volume Number124
dc.accessType Open Access


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