Difference between revisions of "Testicular torsion"
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| Line 9: | Line 9: | ||
Treatment: | Treatment: | ||
*Surgery. | *Surgery. | ||
==Gross== | |||
*Brown/black or red - due to hemorrhage/necrosis. | |||
Image: | |||
*[http://library.med.utah.edu/WebPath/MALEHTML/MALE083.html Testicular torsion (med.utah.edu)]. | |||
==Microscopic== | ==Microscopic== | ||
Revision as of 22:11, 9 December 2014
Testicular torsion is rotation of the testis resulting in reduced to no blood flow.
General
Clinical:
- Pain.
Treatment:
- Surgery.
Gross
- Brown/black or red - due to hemorrhage/necrosis.
Image:
Microscopic
Features:
- Intratubular hemorrhage.
- Desquamation of germ cells.
- +/-Necrosis of germ cells.
DDx:
- Testicular tumour (e.g. germ cell tumour).[1]
- Intratubular germ cell neoplasia (incidental finding).
Grading
Adapted from Mikuz:[2]
| Grade | Features |
|---|---|
| 1 | intertubular edema, limited blood extravasation, desquamation of germ cells |
| 2 | diffuse intertubular hemorrhage, focal necrosis of the germ cells |
| 3 | diffuse infarction of parenchyma |
See also
References
- ↑ Kao, CS.; Zhang, C.; Ulbright, TM. (Jan 2014). "Testicular hemorrhage, necrosis, and vasculopathy: likely manifestations of intermittent torsion that clinically mimic a neoplasm.". Am J Surg Pathol 38 (1): 34-44. doi:10.1097/PAS.0b013e31829c0206. PMID 24061519.
- ↑ Mikuz, G. (1985). "Testicular torsion: simple grading for histological evaluation of tissue damage.". Appl Pathol 3 (3): 134-9. PMID 3842075.