Testicular Torsion in Cerebral Palsy – Resident’s Grey Area

The association of testicular torsion and cerebral palsy is a well-known fact. But the infrequent presentation to emergency room makes the clinician sceptical. Such a presentation often puzzles the residents regarding the diagnosis and the treatment. Here we present a case of an adolescent boy age...

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Main Authors: Hemanth S Ghalige, Babitha N, Chetan Maibam, M Birkumar Sharma, Th Sudhir Chandra Singh
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2014-10-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/5054/10154_CE(Ra)_F(Sh)_PF1(PAK)_PFA(Sh)_PF2(PAG).pdf
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author Hemanth S Ghalige
Babitha N
Chetan Maibam
M Birkumar Sharma
Th Sudhir Chandra Singh
author_facet Hemanth S Ghalige
Babitha N
Chetan Maibam
M Birkumar Sharma
Th Sudhir Chandra Singh
author_sort Hemanth S Ghalige
collection DOAJ
description The association of testicular torsion and cerebral palsy is a well-known fact. But the infrequent presentation to emergency room makes the clinician sceptical. Such a presentation often puzzles the residents regarding the diagnosis and the treatment. Here we present a case of an adolescent boy aged with cerebral palsy 13 years with incessant crying and not feeding well for last 3days. Right inguinal region showed a tender globular swelling with absence of testis in scrotum along with signs of septicaemia. The inguinal exploration was performed under general anaesthesia which revealed gangrenous right testis. Right orchidectomy and left orchidopexy was performed and the patient recovered well. This case is reported for its complexity due to lack of reliable history, delayed presentation and associated comorbidities posing challenges to the treating surgeons.
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spelling doaj.art-daea7d907d9a4a84bccbc345e874c0d62022-12-22T01:31:50ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2014-10-01810ND07ND0910.7860/JCDR/2014/10154.5054Testicular Torsion in Cerebral Palsy – Resident’s Grey AreaHemanth S Ghalige0Babitha N1Chetan Maibam2M Birkumar Sharma3Th Sudhir Chandra Singh4Junior resident, Department of Surgery, Regional Institute of Medical Sciences, Imphal, Manipur, India.Junior resident, Department of Surgery, Regional Institute of Medical Sciences, Imphal, Manipur, India.Senior Registrar, Department of Surgery, Regional Institute of Medical Sciences, Imphal, Manipur, India.Professor, Department of Surgery, Regional Institute of Medical Sciences, Imphal, Manipur, India.Professor, Department of Surgery, Regional Institute of Medical Sciences, Imphal, Manipur, India.The association of testicular torsion and cerebral palsy is a well-known fact. But the infrequent presentation to emergency room makes the clinician sceptical. Such a presentation often puzzles the residents regarding the diagnosis and the treatment. Here we present a case of an adolescent boy aged with cerebral palsy 13 years with incessant crying and not feeding well for last 3days. Right inguinal region showed a tender globular swelling with absence of testis in scrotum along with signs of septicaemia. The inguinal exploration was performed under general anaesthesia which revealed gangrenous right testis. Right orchidectomy and left orchidopexy was performed and the patient recovered well. This case is reported for its complexity due to lack of reliable history, delayed presentation and associated comorbidities posing challenges to the treating surgeons.https://jcdr.net/articles/PDF/5054/10154_CE(Ra)_F(Sh)_PF1(PAK)_PFA(Sh)_PF2(PAG).pdfcerebral palsycomorbiditiesdiagnostic dilemmaresidenttorsion of testis
spellingShingle Hemanth S Ghalige
Babitha N
Chetan Maibam
M Birkumar Sharma
Th Sudhir Chandra Singh
Testicular Torsion in Cerebral Palsy – Resident’s Grey Area
Journal of Clinical and Diagnostic Research
cerebral palsy
comorbidities
diagnostic dilemma
resident
torsion of testis
title Testicular Torsion in Cerebral Palsy – Resident’s Grey Area
title_full Testicular Torsion in Cerebral Palsy – Resident’s Grey Area
title_fullStr Testicular Torsion in Cerebral Palsy – Resident’s Grey Area
title_full_unstemmed Testicular Torsion in Cerebral Palsy – Resident’s Grey Area
title_short Testicular Torsion in Cerebral Palsy – Resident’s Grey Area
title_sort testicular torsion in cerebral palsy resident s grey area
topic cerebral palsy
comorbidities
diagnostic dilemma
resident
torsion of testis
url https://jcdr.net/articles/PDF/5054/10154_CE(Ra)_F(Sh)_PF1(PAK)_PFA(Sh)_PF2(PAG).pdf
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AT babithan testiculartorsionincerebralpalsyresidentsgreyarea
AT chetanmaibam testiculartorsionincerebralpalsyresidentsgreyarea
AT mbirkumarsharma testiculartorsionincerebralpalsyresidentsgreyarea
AT thsudhirchandrasingh testiculartorsionincerebralpalsyresidentsgreyarea