The torsion of the pedicle is the complication of any ovarian cyst. This complication is more common with tumors of small or moderate size than the large ones. These tumors are usually benign and not adhesive. The incidence of torsion varies from 3.5 to 16%. Ultrasound could help us diagnose rapidly and accurately the size and characteristics of the ovarian cysts.
Ovarian Cysts ; Torsion

BACKGROUND AND OBJECTIVE: X-linked dystonia parkinsonism (XDP, DYT3, MIM #314250) is a neurodegenerative movement disorder found endemically in the Philippines. An SVA retrotransposon insertion mutation has been described in patients with XDP, which requires Southern analysis for detection. However, this method is costly and time-consuming. Hence we developed a PCR-based method and validated it among our local population.

METHODS AND RESULTS: A total of 58 samples from 58 patients with a clinical diagnosis of XDP were collected. Other samples were from an obligate female carrier, two unaffected male relatives, and two patients with typical Parkinson’s disease. Primers designed to amplify the SVA retrotransposon found in the DYT3-TAF1 gene (NCBI Accession Number AB191243) were used. All patients were positive for the expected 3229-bp product after PCR amplification. The normal control showed a 599-bp product, while the female carrier showed both the 3229 and 599-bp product. Subsequent RFLP analysis using BamHI verified the presence of the SVA retrotransposon insertion mutation. CONCLUSION: Our results show that large-scale PCR-based testing to screen for genetic diseases with a relatively high prevalence such as XDP is possible in our setting. When followed by RFLP analysis, this can provide genetic confirmation of the diagnosis of XDP and facilitate proper genetic counselling and therapy.
Dystonia 3, Torsion, X-Linked

Hospital from recent 6 years. The age range extended from 1 month to 34 years with 11 cases arising between the age of 10 and 19. The duration of torsion was less than 6 hours in 2 cases, 6-24 hours in 9 cases and 24 hours or longer in 10 cases. The testicular salvage rate was 100% (11/ II) for the patients operated within less than 24 hours after torsion. and 44% (4/9) for the patients over .24 hours. The degree of torsion was less than 180 degrees in 12 cases, whose testicular salvage rate was 100%. Among the 8 cases who had more than 360 degrees of torsion, orchiectomy was performed in 5 cases. But the duration of torsion of all these cases was more than 24 hours. Thus the testicular salvage in patients with testicular torsion was closely related to the duration of torsion and early scrotal exploration should be done in patients with suspicious testicular torsion.
Humans ; Orchiectomy ; Spermatic Cord Torsion ; Testis*

Because of its motility and position, the scrotum is infrequently injured after blunt trauma. We have recently experienced traumatic testicular torsion, testicular rupture, and epididymal rupture with abscess formation after blunt scrotal trauma. We have explored early and treated properly.
Abscess ; Rupture ; Scrotum ; Spermatic Cord Torsion

Uterine leiomyoma is one of the most common gynecological tumor, whereas acute torsion of the uterine leiomyoma is very rare. We report a case of subserosal leiomyoma that was first detected by ultrasonography, and further confirmed as torsion of subserosal leiomyoma by laparoscopic surgery.
Laparoscopy ; Leiomyoma* ; Torsion Abnormality ; Ultrasonography ; Uterine Neoplasms

Unilateral torsion of the testis was experimentally induced in Sprague-Dowley rats by an incision in the scrotum and manual rotation of the testis. The testes remained torted for 3 or 24 hours and then were released by detorsion or orchiectomy. Histologic changes were evaluated 2 weeks and 4 weeks post torsion episode in order to answer the following questions:(1) Does the duration of testicular torsion affect the degree of histologic change in the contralateral testis? (2) Does the treatment of the torted testis influence the contralateral testis histologically? (3) Are there any histologic differences according to the duration of the follow-up in each group? The results indicate that when a torted testis was kept in place for at least 24 hrs, then was a marked decrease in spermatogenesis, but even this histologic change disappeared 4 weeks later. In conclusion a torted testis may present a liability to the patient's contralateral testis, but this phenomena is temporal.
Animal ; Male ; Rats ; Rats, Inbred Strains ; Spermatic Cord Torsion/complications ; Spermatic Cord Torsion/pathology*

We recently encountered a very rare case of torsion of an intrascrotal testicular tumor in a 26-year-old male. Unlike the intra-abdominal undescended testis, intrascrotal spermatic cord torsion associated with a testicular tumor has rarely been reported. We write to report a case of intrascrotal spermatic cord torsion accompanied by a testicular tumor that had been overlooked preoperatively.
Adult ; Cryptorchidism ; Humans ; Male ; Seminoma ; Spermatic Cord ; Spermatic Cord Torsion

Because of its usually abnormal mesorchial attachments the undescended testis is more prone to undergo torsion than normally-sited organ, but the incidence of this complication appears to have lessened in recent years. We present two cases with torsion of the unilateral cryptorchid testis and a review of the literature. Two cryptorchids complained of the painful mass on the inguinal area. Exploration revealed testicular torsion and orchiectomy was done.
Cryptorchidism ; Incidence ; Male ; Orchiectomy ; Spermatic Cord Torsion ; Testis*

Among causes of acute scrotum, epididymitis and testicular torsion are most common causes. There is difficulty in differential diagnosis of testicular torsion and acute epididymitis because of their similarities in clinical features. Recently, the radioisotope testicular scanning in imaging procedures has been introduced as that is simple, rapid and a high accuracy. So, 28 cases with scrotal swelling and pain were studied by means of testicular scanning in the Department of Urology, Kyung Hee University Hospital during the period from February, 1981 to September, 1983. The following results were obtained: 1. 2 cases those were diagnosed as testicular torsion clinically showed typical findings of torsion on scanning. They were confirmed as torsion by operation. 2. 16 cases were diagnosed as acute epididymitis clinically. 13 of them gave the scan findings compatible with epididymitis and all cases were well improved with antibiotic therapy. Remaining 3 cases showed findings of torsion and were confirmed surgically. 3. 8 cases were diagnosed as testicular injury clinically. In 5 cases scan showed findings of trauma and were also confirmed by operation. In the other 3 cases. scan showed findings of epididymitis and all of them were improved with antibiotic therapy. As above results testicular scan is easily available and accurate diagnostic method in the evaluation of patient with acute scrotal disorders.
Diagnosis, Differential ; Epididymitis ; Humans ; Male ; Scrotum ; Spermatic Cord Torsion ; Urology

Simple cysts of the testis are rare benign lesions of uncertain etiology. A 3-month-old male infant presented with painful enlargement of the left testicle and was suspected for testicular torsion. On scrotal exploration, the diagnosis of intratesticular simple cyst was made intraoperatively and the patient treated with orchiectomy.
Diagnosis ; Humans ; Infant ; Male ; Orchiectomy ; Spermatic Cord Torsion ; Testis