Резюме
Определение
Анамнез и осмотр
Ключевые диагностические факторы
- testicular pain
- intermittent pain
- no pain relief upon elevation of scrotum
- scrotal swelling or edema
- scrotal erythema
- reactive hydrocele
- high-riding testicle
- horizontal lie
- absent cremasteric reflex
Другие диагностические факторы
- nausea and vomiting
- abdominal pain
- fever
Факторы риска
- age <25 years
- neonate
- bell clapper deformity
- trauma/exercise
- intermittent testicular pain
- undescended testicle
- cold weather
Диагностические исследования
Исследования, которые показаны в первую очередь
- Testicular Workup for Ischemia and Suspected Torsion (TWIST) score
- ultrasound with Doppler flow imaging
Исследования, проведение которых нужно рассмотреть
- urinalysis
- scintigraphy
Алгоритм лечения
non-neonate
neonate
Составители
Авторы
Hemanshoo Thakkar, MBBS, BSc, FRCS (Paed)
Consultant Paediatric Surgeon
Evelina London Children’s Hospital
Guy's and St Thomas' NHS Foundation Trust
London
UK
Раскрытие информации
HT declares that he has no conflicting interests.
Выражение благодарностей
Dr Hemanshoo Thakkar would like to gratefully acknowledge Dr Richard Lee, Dr Caroline Kang, and Dr Jessica Marinaro, Dr George Kaplan, Dr Deborah Dean, and Dr Paul Hamilton, the previous contributors to this topic.
Раскрытие информации
RL has received funding from the Bill and Melinda Gates Foundation. CK, JM, GK, DD, and PH declared that they had no competing interests.
Рецензенты
Eugene Minevich, MD, FAAP, FACS
Associate Professor
Division of Pediatric Urology
Cincinnati Children's Hospital Medical Center
Cincinnati
OH
Раскрытие информации
EM declares that he has no competing interests.
Simon E. Kenny, BSc, ChB (Hons), MD, FRCS (Paed), FAAP
Consultant Pediatric Surgeon/Urologist
Alder Hey Children's NHS Foundation Trust
Liverpool
UK
Раскрытие информации
SEK declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Список литературы
Основные статьи
National Confidential Enquiry into Patient Outcome and Death. Testicular torsion. Feb 2024 [internet publication].Полный текст
Royal College of Surgeons of England. Commissioning guide topics: management of paediatric torsion. Oct 2016 [internet publication].Полный текст
European Association of Urology. Paediatric urology. Apr 2024 [internet publication].Полный текст
Expert Panel on Urological Imaging, Gerena M, Allen BC, et al. ACR appropriateness criteria® acute onset of scrotal pain-without trauma, without antecedent mass: 2024 update. J Am Coll Radiol. 2024 Nov;21(11s):S364-71.Полный текст Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Testicular appendix torsion
- Epididymitis or epididymo-orchitis
- Hydrocele
Больше ОтличияРекомендации
- Appropriateness criteria: acute onset of scrotal pain - without trauma, without antecedent mass
- Paediatric urology
Больше РекомендацииЛифлеты для пациента
Appendicitis
Testicular cancer
Больше Лифлеты для пациента
Войдите в учетную запись или оформите подписку, чтобы получить полноценный доступ к BMJ Best Practice
Использование этого контента попадает под действие нашего заявления об отказе от ответственности