In the past 3 months, the Urology Department of Wuhan Children's Hospital has received 8 cases of children with "egg pain", all of whom have undergone emergency surgical exploration, of which 7 children have been confirmed to be testicular torsion and necrosis during surgery. The doctor was very distressed: "It's a pity, it could have been avoided!" ”
In 3 months, 7 boys lost their "eggs"
Jia Jia (pseudonym) is 13 years old this year, and her height is close to her father, and she usually lives in the school. When he came home on the weekend, his mother found that he was not very mentally awake in the morning and walked in a strange posture. Under repeated questioning, Jia Jiacai embarrassedly said that the left "egg pain" has been 3 days, and has not been taken seriously and endured the pain. Parents quickly took him to Wuhan Children's Hospital.
The image comes from Photoshop
Wang Jun, chief physician of urology, examined Jiajia and was diagnosed with left testicular torsion. Regrettably, Jiajia's left testicle did not show blood flow signals, and the emergency surgery probed the testicle torsion and was necrotic, and could only be removed.
After the 8-month-old Xiaomin (pseudonym) was born for physical examination, the doctor reminded parents that the child had cryptorchidism and needed to find a specialist doctor for further diagnosis and treatment in time, but the parents always felt that the child was too small and planned to wait. 5 days ago, Xiao Min, who has always been lively and smiling, cried inexplicably, and then the parents cried as soon as they touched the groin child, and yesterday they vomited. After the consultation, the doctor shook his head and sighed: "This is a relatively rare clinically rare infant cryptorchidism complicated by testicular torsion, and the torsional testicle has been necrotic and can only be surgically removed." ”
The only one who saved the "egg" was a 12-year-old boy, who felt unwell after getting up in the morning, immediately told his parents, and immediately came to the Urology Department of Wuhan Children's Hospital for treatment, after the relevant preparation of emergency testicular exploration, it is indeed testicular torsion, fortunately, because of the timely treatment of testicular necrosis, saved the "egg".
Infants, adolescent boys are easy to "recruit"
According to the doctor, the "sperm cord" is like a "rope" hanging from the testicles, with rich blood vessels and nerves, which transport blood to the testicles. "Testicular torsion" refers to abnormal twisting of the spermatic cord, resulting in the "interruption" of the spermatic cord to the testicles, causing testicular ischemia or necrosis, which is the most common scrotal emergency in adolescents and childhood.
Testicular torsion is not uncommon, especially in boys during the "big and small" periods of puberty and infancy. Under external stimuli such as trauma, strenuous exercise, and sudden changes in position, it may induce torsion of the testicles and spermatic cord. For small babies with cryptorchidism, the odds of testicular torsion are 21-53 times higher than in normal children of the same age.
"In the last 3 months, we have received 8 cases of children with testicular torsion, 7 of whom had to remove one side of the testicle because it came too late, which is a pity." Doctors told reporters that the age distribution of these 8 children is very typical - either small babies under 1 year old (2 cases) or 12-14 years older children (6 cases).
Win the defense war and seize the "golden 6 hours"
The best treatment for testicular torsion is emergency surgery, with testicular retention as high as 90% if detected and operated within 6 hours, 50% after 12 hours, and 10% after 24 hours. Therefore, early identification, timely diagnosis and early intervention are key to avoiding testicular resection.
Doctors analyze that infants and young children can not speak, parents are easy to be careless, especially for infantile cryptorchidism children may have little understanding of the complications that may occur, it is very easy to miss the golden opportunity for surgical treatment; and adolescent children are often ashamed to talk about it because the disease belongs to the private parts, and the "egg pain" of children during this period is often manifested as abdominal pain, and sometimes vomiting and other discomforts, so it is necessary to be vigilant and go to a urology specialist for medical treatment.
Doctors remind parents who have given birth to baby boys to first learn to "self-test". After the birth of the baby boy, parents should touch the "egg" in time, if it feels that the baby's scrotum is "hollow", it should be timely to find a specialist to rule out whether there is a pediatric cryptorchidism.
Although pediatric cryptorchidism combined with testicular torsional necrosis is not common clinical, but this time 7 cases of children with excised testicles have 2 cases of children who are infancy cryptorchidism combined with testicular torsional necrosis, and it is very painful for children less than 1 year old to lose one side of the testicle! For adolescent boys, parents and teachers should inform the relevant medical science knowledge, remind the child that once the scrotum is red and swollen, painful, and even abdominal pain, etc., it is necessary to check the "egg" in time and should seek medical treatment in time.
Source: Hubei Jingshi "Jingshi Live"
The cover image is from Photograph
Reporter: Tong Liang | Correspondent: Gao Chenchen
Editor: Tang Qiaoxia | Editor-in-chief: Li Ling, Natural
Editor: Liao Shouxi | Producer: Li Peng
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