Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- 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
Outros fatores diagnósticos
- nausea and vomiting
- abdominal pain
- fever
Fatores de risco
- age <25 years
- neonate
- bell clapper deformity
- trauma/exercise
- intermittent testicular pain
- undescended testicle
- cold weather
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- Testicular Workup for Ischemia and Suspected Torsion (TWIST) score
- ultrasound with Doppler flow imaging
Investigações a serem consideradas
- urinalysis
- scintigraphy
Algoritmo de tratamento
non-neonate
neonate
Colaboradores
Autores
Hemanshoo Thakkar, MBBS, BSc, FRCS (Paed)
Consultant Paediatric Surgeon
Evelina London Children’s Hospital
Guy's and St Thomas' NHS Foundation Trust
London
UK
Declarações
HT declares that he has no conflicting interests.
Agradecimentos
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.
Declarações
RL has received funding from the Bill and Melinda Gates Foundation. CK, JM, GK, DD, and PH declared that they had no competing interests.
Revisores
Eugene Minevich, MD, FAAP, FACS
Associate Professor
Division of Pediatric Urology
Cincinnati Children's Hospital Medical Center
Cincinnati
OH
Declarações
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
Declarações
SEK declares that he has no competing interests.
Diagnósticos diferenciais
- Testicular appendix torsion
- Epididymitis or epididymo-orchitis
- Hydrocele
Mais Diagnósticos diferenciaisDiretrizes
- Appropriateness criteria: acute onset of scrotal pain - without trauma, without antecedent mass
- Paediatric urology
Mais DiretrizesFolhetos informativos para os pacientes
Appendicitis
Testicular cancer
Mais Folhetos informativos para os pacientes
Conectar-se ou assinar para acessar todo o BMJ Best Practice
O uso deste conteúdo está sujeito ao nosso aviso legal