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Unusual presentation of more common disease/injury
CASE REPORT
Testicular torsion in a patient with Ehlers-Danlos syndrome
  1. Amy Lee Fowler1,
  2. David Bouchier Hayes1,
  3. Eszter Feher2
  1. 1Department of Urology, Galway Clinic, Galway, Ireland
  2. 2Department of Anaesthetics, Galway Clinic, Galway, Ireland
  1. Correspondence to Dr Amy Lee Fowler, amyleefowler{at}rcsi.ie

Summary

We present a 19-year-old man with a diagnosis of Ehlers-Danlos syndrome (EDS) and a delayed presentation of testicular torsion. EDS is a rare and heterogeneous condition affecting collagen synthesis and presents multiple difficulties in a surgical setting. Management of this case of testicular torsion was complicated by impaired cognition of the patient, difficulty with intubation, a contralateral undescended testis and postoperative bleeding. We discuss the specific challenges faced in this case of testicular torsion with longstanding ischaemia and perioperative considerations of EDS.

  • anaesthesia
  • urology
  • connective tissue disease
  • urological surgery

https://doi.org/10.1136/bcr-2017-222679

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    Footnotes

    • Contributors All the authors contributed in conception, design of study, acquisition of data, analysis and/or interpretation of data and approval of the version of the manuscript to be published. ALF: in drafting the manuscript. DBH and EF: revising the manuscript critically for important intellectual content.

    • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Parental/guardian consent obtained

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