1/13. sertoli cell tumor in a prepubertal boy mimicking testicular torsion.A 9-year-old boy presented with left, intermittent testicular pain that was present for 3 days. On physical examination, left testis was grossly enlarged and firm but mildly tender. serum alpha-fetoprotein and beta-human chorionic gonadotropin levels were within normal range. color doppler ultrasonography which was performed to rule out testicular torsion revealed an intratesticular mass located at the upper pole of left testis and left radical orchiectomy was performed. The histopathological diagnosis was sertoli cell tumor.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |
2/13. Asynchronous bilateral torsion of the spermatic cord in the newborn: a case report.Asynchronous bilateral torsion of the spermatic cord in the newborn is extremely rare. We report such a case in a 4-day-old boy with subsequent operative discovery of prior in utero torsion of the contralateral spermatic cord. The diagnosis was made by physical examination, transillumination test, color Doppler ultrasound, and confirmed by emergent surgical exploration. To our knowledge, the present case is the 6th case of asynchronous bilateral torsion of the spermatic cord in the English literature, and the first case in korea.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |
3/13. Testicular torsion in a 68-year-old man.Testicular torsion is a rare, yet often underrecognized, cause of scrotal pain in adult men. Few reports have commented on testicular torsion in the geriatric population. We report a case of a 68-year-old man initially diagnosed with epididymo-orchitis, who, on surgical exploration, was found to have intravaginal testicular torsion. The diagnosis in this patient population is often delayed, leading to poor salvage rates. The use of color Doppler ultrasonography should be strongly considered if the history and physical examination is suggestive of testicular torsion, regardless of patient age.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |
4/13. Acute testicular pain: Henoch-Schonlein purpura versus testicular torsion.A skilled examiner may not be able to exclude testicular torsion by physical examination maneuvers in a patient who presents with acute scrotal pain. Diagnostic adjunctive studies may be of assistance. However, if a diagnosis cannot be established with certainty, surgical exploration is warranted. patients with Henoch-Schonlein purpura who present with a vascular eruption on the scrotum, lack a rash elsewhere, and have no arthritis or hematuria are likely to be explored.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |
5/13. Torsion of the testicular appendage. Sonographic diagnosis.Torsion of the testicular appendages may simulate the clinical and physical examination findings of testicular torsion. Real-time imaging and duplex Doppler scanning aided the diagnosis of this entity in three children. The testes appear normal on sonograms and have normal vascular flow. A circular mass of increased echogenicity with a variably sized central hypoechoic region is seen adjacent to the testicle. We could not relate variations in echogenicity to time delay between clinical pain and sonographic examination.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |
6/13. Torsion of an intraabdominal testis tumor presenting as an acute abdomen.Torsion of an intraabdominal testicular tumor is a rare preoperative diagnosis. An increased diagnostic yield is dependent on an expedient and comprehensive preoperative evaluation. This consists of a detailed past surgical history, a thorough physical examination, and close inspection of the preoperative abdominal films. An illustrated case report is presented.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |
7/13. Intermittent torsion: association with horizontal lie of the testicle.The importance of making an early diagnosis of intermittent testicular torsion cannot be over-emphasized. We report on 3 patients with recurrent episodes of severe testicular pain but who were pain-free at evaluation. All 3 patients were found to have a horizontal lie of the symptomatic testicle and a normal vertical axis in the contralateral asymptomatic testicle. Scrotal exploration revealed a bell-clapper deformity in all 3 patients. A history of recurrent scrotal pain and horizontal testicular lie, even in the absence of pain at the time of physical examination, is a strong indication for exploration and bilateral testicular fixation.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |
8/13. Testicular torsion or acute epididymitis? Diagnosis and treatment.The differentiation between torsion and epididymitis can be extremely difficult because only 50% or less of cases involving testicular torsion exhibit the classically expected findings. Therefore a careful history and complete analysis of the physical and laboratory findings are warranted. When needed, the judicious use of collaborative tests will point the clinician toward the appropriate diagnosis.- - - - - - - - - - ranking = 0.064929066900241keywords = physical (Clic here for more details about this article) |
9/13. spermatic cord torsion: diagnostic limitations.To distinguish spermatic cord torsion from other intrascrotal pathology, scrotal ultrasound and radionuclide scanning have been highly recommended on the basis of both clinical and experimental studies. We review the data from six patients in whom ultrasound or nuclear medicine examination was misleading. We emphasize that history, physical examination, and urinalysis remain the cornerstones of the diagnosis of spermatic cord torsion. Scrotal ultrasound and nuclear medicine scans are useful adjuncts and are reassuring when in agreement with the clinical picture. However, they are not 100% sensitive or specific, and a negative study should not prevent emergency operative exploration of a clinically suspicious lesion.- - - - - - - - - - ranking = 1keywords = physical examination, physical (Clic here for more details about this article) |
10/13. Redux testis: a potential pitfall in testicular imaging.The use of radionuclide testicular imaging to assess testicular perfusion has been shown to be a valuable diagnostic procedure in the evaluation of the acute scrotum. However, if images are not evaluated in conjunction with physical findings falsely negative examinations can occur. A case of torsion of a retractile testicle (redux testis) is presented to demonstrate this potential limitation. To our knowledge this has not been reported previously.- - - - - - - - - - ranking = 0.064929066900241keywords = physical (Clic here for more details about this article) |
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