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*

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

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

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*

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*

Synchronous bilateral testicular torsion in the neonate, although very rare, is being reported with increasing frequency. It is usually extravaginal and occurs either in utero or in the several days or weeks of life before the testicular tunics are firmly attached to the scrotum. Controversy exists concerning the urgency of exploration and removal of necrotic testis since some reports suggest that the interstitial tissue may survive and reduce the need for future androgenic replacement therapy. We report a case of synchronous bilateral neonatal testicular torsion in a full term. We have adopted a policy of prompt exploration with bilateral orchiectomy.
Humans ; Infant, Newborn* ; Orchiectomy ; Scrotum ; Spermatic Cord Torsion* ; Testis

STATEMENT OF PROBLEM: Injuries along with discomfort may result on the oral mucosa when non-rigid material is used as the major connector in construction of RPD, since nonrigid major connectors transmit unstable forces throughout the appliance. Titanium which recently draws attention as a substitute of Co-Cr had a difficulty in fabricating due to high melting temperature, but the development of casting technique makes it possible to apply to the clinical case. PURPOSE: The purpose of this study was to investigate the rigidity and the castability of titanium upper major connector by design and make a comparison with Co-Cr major connectors which are widely used in clinical cases now. MATERIAL AND METHODS: Casting was done using CP-Ti(Grage 2)(Kobe still Co., Japan) for the experimental groups, and 4 various designs namely palatal strap, U-shaped bar, A-P strap, and complete palatal plate were casted and 5 of each designs were included in each group. For the experimental group, Universal testing machine (Model 4502;Instron, Canton, Mass) was used to apply vertical torsional force vertically to the horizontal plane of major connector. In the second experiment, Vertical compressive force was applied to the horizontal plane of major connector. As a comparative group, Co-Cr major connector was equally manufactured and underwent the same experimental procedures. Strain rate was measured after constant loading for one minute duration, and statistical analysis was done with SPSS ver.10.0 for WIN(SPSS. Inc. USA). From the one-way ANOVA and variance analysis (P=0.05), Scheffe's multiple comparison test implemented. RESULTS: 1. Least amount of strain was observed with complete palatal plate followed by A-P bar, palatal bar, and the U-shaped bar having most amount of strain. 2. In all designs of titanium major connector, less strain rate was observed under compressive loading than under torsional loading showing more resistance to lateral force. 3. For titanium major connector, less strain rate was observed when the force is applied to the first premolar area rather than to the second molar area indicating more strength with shorter length of lever. 4. In comparison of Co-Cr major connector with titanium major connector, palatal strap and U-shaped bar designs showed higher strength under torsional force that is statically significant, and under compressive force, no significant difference was observed expert for U-shaped bar. 5. In titanium major connector, complete palatal plate showed lowest success rate in casting when compared with the Co-Cr major connector. CONCLUSION: Above results prove that when using titanium for major connector, only with designs capable of generating rigidity can the major connector have almost equal amount of rigidity as Co-Cr major connector and show lower success rate in casting when compared with the Co-Cr major connector.
Bicuspid ; Freezing ; Molar ; Mouth Mucosa ; Titanium* ; Torsion, Mechanical

Torsion of a hernia sac is an extremely rare condition that presents as acute scrotum in children. We report a case of a 6-year-old boy who presented with an acute scrotum and was found during surgical exploration to have torsion of an indirect hernia sac associated with hydrocele. Upon scrotal exploration, deterioration of the scrotum due to inflammatory changes was found. A necrotic cyst was recognized within a communicating hydrocele of the scrotum and was twisted at an angle of about 360degrees. All urologists should be aware of this special condition in the differential diagnosis of acute scrotum.
Child ; Diagnosis, Differential ; Hernia ; Hernia, Inguinal ; Humans ; Scrotum ; Torsion Abnormality