Testicular Torsion in Cerebral Palsy – Resident´s Grey Area
Published: October 1, 2014 | DOI: https://doi.org/10.7860/JCDR/2014/.5054
Hemanth S Ghalige, Babitha N, Chetan Maibam, M Birkumar Sharma, Th Sudhir Chandra Singh
1. Junior resident, Department of Surgery, Regional Institute of Medical Sciences, Imphal, Manipur, India.
2. Junior resident, Department of Surgery, Regional Institute of Medical Sciences, Imphal, Manipur, India.
3. Senior Registrar, Department of Surgery, Regional Institute of Medical Sciences, Imphal, Manipur, India.
4. Professor, Department of Surgery, Regional Institute of Medical Sciences, Imphal, Manipur, India.
5. Professor, Department of Surgery, Regional Institute of Medical Sciences, Imphal, Manipur, India.
Correspondence
Dr. Th Sudhir Chandra Singh,
Professor, Department of Surgery, RIMS, Imphal, Manipur-795004, India.
Phone : 9436021240, E-mail : th_sudhir@yahoo.com
The association of testicular torsion and cerebral palsy is a well-known fact. But the infrequent presentation to emergency room makes the clinician sceptical. Such a presentation often puzzles the residents regarding the diagnosis and the treatment. Here we present a case of an adolescent boy aged with cerebral palsy 13 years with incessant crying and not feeding well for last 3days. Right inguinal region showed a tender globular swelling with absence of testis in scrotum along with signs of septicaemia. The inguinal exploration was performed under general anaesthesia which revealed gangrenous right testis. Right orchidectomy and left orchidopexy was performed and the patient recovered well. This case is reported for its complexity due to lack of reliable history, delayed presentation and associated comorbidities posing challenges to the treating surgeons.
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