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Rare disease
CASE REPORT
Bilateral testicular torsion in a 36-week neonate
  1. Michael J H Clarke1,
  2. Samuel Crocker1,
  3. David G Bartle2,
  4. John Apsey1
  1. 1 Royal Devon and Exeter NHS Foundation Trust, Exeter, UK
  2. 2 Department of Child and Women’s Health, Royal Devon and Exeter Hospital, Exeter, UK
  1. Correspondence to Dr Michael J H Clarke, mjh.clarke{at}doctors.org.uk

Summary

A male neonate born after uncomplicated vaginal delivery at 36 weeks’ gestation was noted to have large and firm testicles bilaterally on routine examination. A testicular ultrasound scan was subsequently organised that showed detailed appearances consistent with bilateral testicular torsion. This was thought to have taken place antenatally and as such was unfortunately not suitable for intervention. The patient was therefore managed conservatively with the testicles left to involute naturally. He was started on testosterone replacement therapy after follow-up when gonadotrophin levels were found to be raised and testosterone low (suggesting absent testicular function) and will be closely followed up regarding his future development which is normal to this point.

  • neonatal health
  • metabolic disorders
  • paediatrics (drugs and medicines)

https://doi.org/10.1136/bcr-2017-223093

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    Footnotes

    • Contributors MJHC and SC collected patient review and information. MJHC prepared manuscript with contributions from SC (including abstract and information regarding radiology findings). JA provided radiology input. DGB supervised all discussions and performance.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Correction notice This article has been corrected since it was published. One of the corresponding author’s email addresses has been removed. The patient’s haemoglobin value has also been corrected to 228 g/L.