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Torsion du cordon spermatique sur testicule non descendu (A propos de deux cas et revue de la littérature)

Torsion of spermatic cord of undescended testis

Andrologie volume 11, pages 165–169 (2001)Cite this article

Resume

La torsion sur testicule non descendu reste une affection exceptionnelle. Elle survient le plus souvent chez l’adulte jeune; son étiopathogénie est mal connue.

Deux observations colligées dans le service d’urologie du centre hospitalier Averroès de Casablanca sont rapportées. Le tableau clinique comporte une douleur abdominale d’apparition brutale sans fièvre avec une masse inguinale palpable et une vacuité scrotale homolatérale. L’échographie abdominale met en évidence une masse d’échostructure tissulaire hétérogène. L’exploration chirurgicale faite en urgence retrouve un testicule nécrosé en ectopie inguinale dans les deux cas. Une orchidectomie est réalisée et l’étude anatomopathologique ne montre pas de signe de malignité.

La prise end charge des torsions sur testicules non descendus consiste en une exploration chirurgicale urgente La place de l’imagerie semble être restreinte. L’abord inguinal permet de réaliser le diagnostic, la détorsion, l’abaissement et la fixation dans la bourse homolatérale en cas de testicule viable.

Abstract

Torsion of an ectopic testis is an exceptional disease and mostly occurs in young adults. Its etiopathogenesis has not been elucidated.

The authors report two cases. The clinical presentation consisted of sudden onset of abdominal pain without fever, associated with a palpable inguinal mass and a homolateral empty scrotum. Abdominal ultrasound showed a mass with a heterogeneous echogenicity. Emergency surgical exploration revealed a necrotic inguinal ectopic testis. Orchidectomy was performed and pathological examination did not reveal any signs of malignancy.

The management of torsion of an undescended testis revealed by a mass with homolateral empty scrotum consists of urgent surgical exploration.

Medical imaging appears to have a limited role. An inguinal incision allows diagnosis, detorsion, reduction and fixation in the homolateral scrotum.

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Authors and Affiliations

  1. Service d’Urologie, CHU Averroès, 113, avenue de Nice, Casablanca, Maroc

    S. Bennani, Z. Dahami, R. Rabii, A. Debbagh, A. Joual, M. Elmrini & S. Enejelloun

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  1. S. Bennani
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  2. Z. Dahami
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  3. R. Rabii
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  4. A. Debbagh
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Correspondence to Z. Dahami.

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Bennani, S., Dahami, Z., Rabii, R. et al. Torsion du cordon spermatique sur testicule non descendu (A propos de deux cas et revue de la littérature). Androl. 11, 165–169 (2001). https://doi.org/10.1007/BF03036642

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Basic and Clinical Andrology

ISSN: 2051-4190