Clinical Analysis of Testicular Torsion with Abdominal Pain as the Initial Symptom
Objectives Toexplore the clinical characteristics of the testicular torsion patients initially presenting with acute abdominal pain.Methods The clinical data of 126 patients with testicular torsion confirmed by surgery in our hospital from Jun 2011 to Jun 2021 were retrospectively studied.Among them,23 patients with initial symptoms of abdominal pain were included in the study.Results The age of 23 patients ranged from 9 to 15 years old,with a median age of 12 years old.The initial symptoms were acute abdominal pain,with scrotal pain in all patients,with vomiting in 11 cases,groin pain in 10 cases,metastatic right lower abdominal pain in 1 case,and penile root pain in 1 case.Of the 23 patients,only 6 were examined for scrotum and testicles during the first physical examination,and the misdiagnosis rate was 73.6%.Surgery exploration found that 16 patients underwent orchiectomy due to testicular necrosis,and only 7 patients had their testes preserved.The patients were followed up for 6 to 42 months,with a median follow-up time of 18 months.Testicular atrophy occurred in 2 cases of testicular preservation,and no complications occurred in other cases who underwent testicular resection.Conclusions Patients with abdominal pain as the initial symptom of testicular torsion often lack typical testicular pain and are easily misdiagnosed.It is recommended to routinely perform external genital examination in patients with abdominal pain,which helps to reduce the misdiagnosis and missed diagnosis rate of testicular torsion.
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