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Difference between revisions of "Testicular torsion"
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'''Testicular torsion''' is rotation of the [[testis]] resulting in reduced | '''Testicular torsion''' is rotation of the [[testis]] resulting in a reduced or absent blood flow with subsequent ischemia. | ||
==General== | ==General== | ||
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DDx: | DDx: | ||
*Testicular tumour (e.g. [[germ cell tumour]]).<ref>{{Cite journal | last1 = Kao | first1 = CS. | last2 = Zhang | first2 = C. | last3 = Ulbright | first3 = TM. | title = Testicular hemorrhage, necrosis, and vasculopathy: likely manifestations of intermittent torsion that clinically mimic a neoplasm. | journal = Am J Surg Pathol | volume = 38 | issue = 1 | pages = 34-44 | month = Jan | year = 2014 | doi = 10.1097/PAS.0b013e31829c0206 | PMID = 24061519 }} | *Testicular tumour (e.g. [[germ cell tumour]]).<ref name=pmid24061519>{{Cite journal | last1 = Kao | first1 = CS. | last2 = Zhang | first2 = C. | last3 = Ulbright | first3 = TM. | title = Testicular hemorrhage, necrosis, and vasculopathy: likely manifestations of intermittent torsion that clinically mimic a neoplasm. | journal = Am J Surg Pathol | volume = 38 | issue = 1 | pages = 34-44 | month = Jan | year = 2014 | doi = 10.1097/PAS.0b013e31829c0206 | PMID = 24061519 }}</ref> | ||
</ref> | *[[Germ cell neoplasia in situ]] (incidental finding). | ||
*[[ | |||
===Grading=== | ===Grading=== | ||
| Line 42: | Line 41: | ||
| diffuse infarction of parenchyma | | diffuse infarction of parenchyma | ||
|} | |} | ||
==Sign out== | |||
<pre> | |||
Right Testicle, Orchiectomy: | |||
- Testis with diffuse intratubular hemorrhage and focal desquamation | |||
of germ cells. | |||
- Epididymis with intratubular necrotic debris. | |||
- Changes compatible with testicular torsion. | |||
- NEGATIVE for germ cell neoplasia in situ (intratubular germ cell neoplasia). | |||
- NEGATIVE for malignancy. | |||
</pre> | |||
==See also== | ==See also== | ||
*[[Testis]]. | *[[Testis]]. | ||
*[[Testicular abscess]]. | |||
*[[Testicular trauma]]. | |||
*[[Infarction]]. | |||
*[[Ovarian infarct]]. | |||
*[[Ovarian torsion]]. | |||
==References== | ==References== | ||