Neonatal unilateral testicular torsion in the first 16 hours of life: A case report and literature review.
Ghassan Abu-Sharikh, Kenana Altell, Roua Najjar et al.
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Case in brief
A 16-hour-old male neonate was admitted for hyperbilirubinemia but was found to have unilateral scrotal swelling during examination. Doppler ultrasonography confirmed acute right neonatal testicular torsion (NTT) with necrosis. Emergency surgery revealed a nonviable testis, leading to orchiectomy and prophylactic orchiopexy of the left testis. The neonate had an uneventful recovery and was discharged in good condition.
Diagnostic / clinical pearl
Clinicians should maintain a high index of suspicion for neonatal testicular torsion in any neonate with unilateral scrotal swelling, regardless of the primary reason for admission.
Why it matters
This case underscores the necessity of routine genital assessments in neonates, as early detection and intervention can prevent significant complications and preserve future fertility.