F M Ralahy, H Rambel, F A Rakototiana, M Rabenasolo, Y Rantomalala, L Andriamanarivo
Extravaginal twisting of the spermatic cord is rare and its management is still open to debate. We report the case in a 12-day-old boy with right testicular pain evolving since birth. Scrototomy revealed a complete twist of the extravaginal spermatic cord. The testis was already necrotic and the intervention consisted in orchidectomy and orchidopexy. Twisting of the extravaginal cord remains a surgical emergency, which allows contralateral orchydopexy.
October 2010: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie