A spontaneous acute abdomen revealing testicular torsion of an undescended testicle

Khayat Ali *, Ouaddane Alami R, Malki M.A, Ahsaini M, Mellas S, El Ammari J, Tazi MF, El Fassi M.J and Farih M.H

Department of urology, Hassan II University Hospital, University Sidi Mohammed Ben Abdellah, Morocco.
 
Case Study
World Journal of Advanced Research and Reviews, 2024, 21(03), 2356–2359
Article DOI: 10.30574/wjarr.2024.21.3.0840
 
Publication history: 
Received on 04 February 2024; revised on 26 March 2024; accepted on 28 March 2024
 
Abstract: 
Torsion of an ectopic testicle is an exceptional condition, occurring mainly in young adults. Its etiopathogenesis is still poorly understood.
The clinical picture consists of the sudden onset of abdominal pain without fever, associated with a palpable inguinal mass and an empty scrotum. Medical imaging appears to play a limited role. The management of torsion of an undescended testicle involves urgent surgical exploration.
An inguinal incision allows diagnosis, detorsion, reduction and orchidopexy in dartos after lowering the testicle if the testicle is viable and the spermatic cord is of sufficient length.
 
Keywords: 
Testicular torsion; Undescended testis; Cryptorchidism; Orchiectomy
 
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