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21:51 CET
C-2664 - Testicular torsion in crytporchidism- Unravelled
N. Perothayil1, A. Rohatgi1, P. P. WALI2, D. SAGAR G2, M. Kumar2, S. R. Khan2, R. Gowda2, R. V. Helavar2; 1BENGALURU/IN 2Bangalore/IN
Type: Educational Exhibit
Area of Interests: Genital / Reproductive system male, Emergency, Abdomen
Imaging Technique: CT
Procedure: Contrast agent-intravenous
Special Focuses: Hemorrhage, Congenital, Acute

Learning objectives:
To evaluate role of imaging in assessment of testicular torsion in cryptorchidism, a rare urological emergency.
Background:
EMBRYOLOGY: Fig. 1 Male gonads arise from the urogenital ridge along posterior abdominal wall, near kidneys. They undergo descent throughout gestation to inguinal canal under the effect of anti-mullerian hormone. Thereafter, inguino-scrotal transition occurs in the third trimester along the tunica v[...]
Findings and procedure details:
Imaging findings in cryptorchidism with testicular torsion: 1. Ultrasonography (USG) with Doppler: The characteristic findings include: a. Increase in size of testis with decreased echogenicity due to edema. However if the testis is deeply placed (intra-abdominal, pelvis or retroperitoneal), it ma[...]
Conclusion:
Testicular torsion in cryptorchidism is a rare urological emergency mandating prompt identification and management. Imaging is of paramount importance in diagnosing this condition in patients with high clinical suspicion to guide early surgical exploration and thus salvage the testis whenever possib[...]
Personal information:
References:
S. B. Pillai and G. E. Besner, “Pediatric testicular problems”, Pediatric Clinics of North America, vol. 45, no. 4, pp. 813–830, 1998. Tasian GE, Copp HL, Baskin LS. Diagnostic Imaging in Cryptorchidism: Utility, Indications, and Effectiveness. J Pediatr Surg. 2011 December; 46(12):2406-2413. Naouar[...]

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