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Spermatic Cord Torsion in the Neonate: A False Negative by Sonography

Department of Radiology, Department of Surgery, and Department of Urology, Madigan Army Medical Center, Tacoma, WA, dreidman{at}earthlink.net

Andrew C. Peterson, MAJ, MC

Department of Radiology, Department of Surgery, and Department of Urology, Madigan Army Medical Center, Tacoma, WA

Robert C. Allen, Jr., COL, MC

Department of Radiology, Department of Surgery, and Department of Urology, Madigan Army Medical Center, Tacoma, WA

Multiple challenges are encountered in the evaluation and treatment of spermatic cord torsion in the neonate, including confident evaluation and treatment. The authors report a full-term male presenting with multiple birth-related injuries, including suspected torsion of the spermatic cord, at 22 hours of life. Diagnostic Doppler sonography study was normal. This case is an example in which a high clinical index of suspicion, despite a reassuring sonographic examination, guided the appropriate therapy for salvaging a viable testicle with torsion of the spermatic cord.

Key Words: scrotal sonography • spermatic cord torsion • neonate • testicle

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