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Neonatal Testicular Torsion Mimicking a Testicular Tumor

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Á¤Àç¹Î ( Chung Jae-Min ) 
°í½Å´ëÇб³ ÀÇ°ú´ëÇÐ ºñ´¢±â°úÇб³½Ç

À̻󵷠( Lee Sang-Don ) 
ºÎ»ê´ëÇб³ ÀÇ°ú´ëÇÐ ºñ´¢±â°úÇб³½Ç

Abstract


The large, hard, non-tender features of neonatal testicular torsion may sometimes lead to the misdiagnosis of a testicular tumor. The authors present the case of a 1-week old male neonate in whom the differential diagnosis between testicular torsion and a tumor proved difficult. Based on serial physical examinations and serial color Doppler ultrasonography findings, the initial diagnosis was a testicular tumor with/without torsion and a concomitant communicating hydrocele. However, the intraoperative findings did not support the existence of testicular torsion. A left radical orchiectomy and contralateral orchiopexy with herniorrhaphy were undertaken, but somewhat surprisingly, the final pathologic findings demonstrated a left testicular torsion.

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Neonate;Testicular torsion;Testicular cancer

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