Prenatal Testicular Torsion: Not Always in the Late Third Trimester (original) (raw)

Urology, 2015

Abstract

Prenatal testicular torsion is a very rare morbid entity, described in the literature to occur when the testicle is intrascrotal, around the 34(th) week of gestation. Here we report a case of early testicular necrosis. This male fetus was the product of a medical abortion at 27 week's. During evisceration, a left testicular nubbin free in the peritoneal cavity was found. Histologically, it was extensively necrotic. Because of the location, the size and the histological features of this necrotic testicle, we conclude that it was the result of torsion of the pedicle that occurred around the 20(th) week of pregnancy. We report a case of a very early testicular necrosis. Because of the location, the size and the histological features of this necrotic testicle, we hypothesize that it was the result of torsion of the pedicle that occurred around the 20(th) week of pregnancy. This was a very unusual and a fortuitous finding at the time of a fetopathological examination of a 27 week's fetus.

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