Clinical challenge: a case of testicular tumor disguised as a prenatal testicular torsion

Abstract Background Neonatal tumors account for a minority of prepubertal testicular tumors. Similarly, testicular torsion in the neonate within the intrauterine or postnatal period is a rare event with an estimated incidence of 6 per 100,000. Testicular salvage is almost never achieved in cases of...

Full description

Bibliographic Details
Main Authors: Ioana Fugaru, Joseph Moryousef, Van-Hung Nguyen, Mohamed El-Sherbiny
Format: Article
Language:English
Published: SpringerOpen 2023-01-01
Series:Annals of Pediatric Surgery
Online Access:https://doi.org/10.1186/s43159-022-00236-6
_version_ 1797952437359738880
author Ioana Fugaru
Joseph Moryousef
Van-Hung Nguyen
Mohamed El-Sherbiny
author_facet Ioana Fugaru
Joseph Moryousef
Van-Hung Nguyen
Mohamed El-Sherbiny
author_sort Ioana Fugaru
collection DOAJ
description Abstract Background Neonatal tumors account for a minority of prepubertal testicular tumors. Similarly, testicular torsion in the neonate within the intrauterine or postnatal period is a rare event with an estimated incidence of 6 per 100,000. Testicular salvage is almost never achieved in cases of prenatal testicular torsion and there is still no consensus on the ideal management. Case presentation A neonate with prenatal testicular torsion that underwent inguinal orchiectomy. On pathological examination, an uncharacterizable, multicystic, and well-delineated testicular tumor was identified. Although rare, testicular tumor presenting as neonatal testicular torsion should be considered in the differential diagnosis of an acute neonatal scrotum. Conclusions This case highlights that an inguinal approach for surgical exploration in prenatal testicular torsions may be preferred given the risk, albeit extremely low, of an underlying testicular tumour.
first_indexed 2024-04-10T22:46:17Z
format Article
id doaj.art-b24ef7dc827b4ad6a588e58fcd5533aa
institution Directory Open Access Journal
issn 2090-5394
language English
last_indexed 2024-04-10T22:46:17Z
publishDate 2023-01-01
publisher SpringerOpen
record_format Article
series Annals of Pediatric Surgery
spelling doaj.art-b24ef7dc827b4ad6a588e58fcd5533aa2023-01-15T12:18:32ZengSpringerOpenAnnals of Pediatric Surgery2090-53942023-01-011911410.1186/s43159-022-00236-6Clinical challenge: a case of testicular tumor disguised as a prenatal testicular torsionIoana Fugaru0Joseph Moryousef1Van-Hung Nguyen2Mohamed El-Sherbiny3Division of Urology, Department of Surgery, McGill UniversityFaculty of Medicine, McGill UniversityDepartment of Pathology, Montreal Children’s Hospital, McGill University Health CentreDepartment of Pediatric Surgery, Division of Pediatric Urology, Montreal Children’s Hospital and McGill University Health CentreAbstract Background Neonatal tumors account for a minority of prepubertal testicular tumors. Similarly, testicular torsion in the neonate within the intrauterine or postnatal period is a rare event with an estimated incidence of 6 per 100,000. Testicular salvage is almost never achieved in cases of prenatal testicular torsion and there is still no consensus on the ideal management. Case presentation A neonate with prenatal testicular torsion that underwent inguinal orchiectomy. On pathological examination, an uncharacterizable, multicystic, and well-delineated testicular tumor was identified. Although rare, testicular tumor presenting as neonatal testicular torsion should be considered in the differential diagnosis of an acute neonatal scrotum. Conclusions This case highlights that an inguinal approach for surgical exploration in prenatal testicular torsions may be preferred given the risk, albeit extremely low, of an underlying testicular tumour.https://doi.org/10.1186/s43159-022-00236-6
spellingShingle Ioana Fugaru
Joseph Moryousef
Van-Hung Nguyen
Mohamed El-Sherbiny
Clinical challenge: a case of testicular tumor disguised as a prenatal testicular torsion
Annals of Pediatric Surgery
title Clinical challenge: a case of testicular tumor disguised as a prenatal testicular torsion
title_full Clinical challenge: a case of testicular tumor disguised as a prenatal testicular torsion
title_fullStr Clinical challenge: a case of testicular tumor disguised as a prenatal testicular torsion
title_full_unstemmed Clinical challenge: a case of testicular tumor disguised as a prenatal testicular torsion
title_short Clinical challenge: a case of testicular tumor disguised as a prenatal testicular torsion
title_sort clinical challenge a case of testicular tumor disguised as a prenatal testicular torsion
url https://doi.org/10.1186/s43159-022-00236-6
work_keys_str_mv AT ioanafugaru clinicalchallengeacaseoftesticulartumordisguisedasaprenataltesticulartorsion
AT josephmoryousef clinicalchallengeacaseoftesticulartumordisguisedasaprenataltesticulartorsion
AT vanhungnguyen clinicalchallengeacaseoftesticulartumordisguisedasaprenataltesticulartorsion
AT mohamedelsherbiny clinicalchallengeacaseoftesticulartumordisguisedasaprenataltesticulartorsion