Perinatal Testicular Torsion : About A Clinical Case in the Pediatric Surgery Department of CHU Gabriel TOURE

Abstract

Introduction : Perinatal testicular torsion is a rare pathology, occurring in utero and during the first month of life.  We report a case of testicular torsion noted at birth, which allowed us to conduct a literature review.

 Observation :This was a male newborn, born at 38 weeks of amenorrhea, 2 prenatal consultations carried out and no prenatal assessment carried out. Admitted to the neonatology department for painful right scrotal swelling noted in the delivery room. The clinical examination revealed a good general impression, a recoloring time of less than 3 s. His archaic reflexes were present. He had a bluish right scrotal swelling, hard with the right testicle raised relative to the left side, non-transluminal, and painful on palpation. Scrotal ultrasound revealed a strangulated right inguinoscrotal hernia with pain in the herniated loops that were poorly vascularized on Doppler. The biological assessment came back normal. He underwent surgery. Exploration finds testicular torsion with necrosis. We performed an orchiectomy. The postoperative course was simple.

Conclusion : Perinatal testicular torsion is a surgical emergency, the functional prognosis of the testicle is often poor.