급성음낭증에서 고환수 염전의 임상적 의의
The Clinical Significance of Torsion of Appendix Testis in Acute Scrotum
이정행, 윤상민, 박원희,
소속 상세정보
이정행 ( )
인하대학교
윤상민 ( )
인하대학교
박원희 ( )
인하대학교
KMID : 0358319960370020174
Abstract
The torsion of appendix testis is the second most common disdease of the acute scrotal disease in frequency. Despite recent development of diagnostic equipments, its differential diagnosis is often difficult and its treatment is controversial. We
reviewed retrospectively 19 cases who were diagnosed to have torsion of appendix testis during recent 6 years. The mean age was 11.3 years. Five cases who had blue dot sign and tender mass on upper pole of testis, and one of 9 who had been
examined
with
scrotal ultrasonography were diagnosed to have torsion of appendix testis, but other clinical finding and laboratory findings were not contributable to its diagnosis. Nine of 14 cases who were diagnosed by surgical exploration were consistant
with
the
preoperative impression. Mean duration of scrotal pain were 1.3 days in surgical treatment group and were 3.6 days in conservative treatment group. The pathgnomonic sign of torsion of appendix testis was seen only in a few cases. The diagnostic
acduracy
of torsion of appendix testis before exploration was low. The scrotal pain was relieved relatively more rapidly in surgical treatment group. So, we think that surgery was more desirable in diagnosis and treatment of torsion of appendix testis.
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