Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- 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
Otros factores de diagnóstico
- nausea and vomiting
- abdominal pain
- fever
Factores de riesgo
- age <25 years
- neonate
- bell clapper deformity
- trauma/exercise
- intermittent testicular pain
- undescended testicle
- cold weather
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- Testicular Workup for Ischemia and Suspected Torsion (TWIST) score
- ultrasound with Doppler flow imaging
Pruebas diagnósticas que deben considerarse
- urinalysis
- scintigraphy
Algoritmo de tratamiento
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
Divulgaciones
HT declares that he has no conflicting interests.
Agradecimientos
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.
Divulgaciones
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 por pares
Eugene Minevich, MD, FAAP, FACS
Associate Professor
Division of Pediatric Urology
Cincinnati Children's Hospital Medical Center
Cincinnati
OH
Divulgaciones
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
Divulgaciones
SEK declares that he has no competing interests.
Diferenciales
- Testicular appendix torsion
- Epididymitis or epididymo-orchitis
- Hydrocele
Más DiferencialesGuías de práctica clínica
- Appropriateness criteria: acute onset of scrotal pain - without trauma, without antecedent mass
- Paediatric urology
Más Guías de práctica clínicaFolletos para el paciente
Appendicitis
Testicular cancer
Más Folletos para el paciente
Inicie sesión o suscríbase para acceder a todo el BMJ Best Practice
El uso de este contenido está sujeto a nuestra cláusula de exención de responsabilidad