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Boletín Clínico de la Asociación Médica del Hospital Infantil del Estado de Sonora

2018, Number 1

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Bol Clin Hosp Infant Edo Son 2018; 35 (1)

The acute pediatrics scrotum

López Cruz G, Reyes-Gomez U, López-Díaz AV, Reyes-Hernández KL, Santos-Calderón LA, Quero-Hernández A, Guerrero-Becerra M, Luévanos-Velázquez A

Language: Spanish
References: 29
Page: 30-38
PDF size: 401.25 Kb.


ABSTRACT

Acute scrotum syndrome is a medical-surgical emergency. Acute scrotal pain represents a true diagnostic challenge. Testicular torsion. It is a true urological emergency with bimodal presentation in relation to age: perinatal testicular torsion that presents with a hard, sensitive or non-sensitive scrotal mass, usually with an underlying dark coloration of the skin and the peripubertal testicular torsion with acute testicular pain severe. Ultrasound diagnosis. Up to 100% specificity and sensitivity are reported in the diagnosis of testicular torsion. Differential diagnosis. It can be grouped into major signs and minor signs. The major signs are closely related to the pathology proper to the testicle. Torsion of testicular appendices. It is a common cause of acute scrotum in prepubertal children. The treatment for this condition is basically conservative. Testicular trauma. What causes damage to the testicle is rare. Testicular hematoma. They can be intratesticular or extratesticular. The treatment is conservative. Acute scrotum. Management of the acute scrotum in pediatric patients is challenging. In case of not having the specialized human resources to establish an adequate diagnosis and treatment, the patient should be referred to a medical attention center where immediate medical attention can be provided. The delay in the diagnosis and treatment causes loss of the involved testicles.


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