El síndrome escrotal agudo asociado a lesiones por fuerzas mecánicas como prevención de torsión testicular en pacientes menores de 18 años
Fecha
2020
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Antecedentes: Las torsiones testiculares afectan principalmente a la población adolescente. Dentro de los casos registrados en el Hospital General IESS Quevedo ser han reportado casos de pacientes que han acudo por un cuadro escrotal agudo posterior a un antecedente traumático y que después de un manejo inicial han retornado al servicio de emergencia por persistencia de este, evidenciándose una torsión testicular que no fue evidente durante la primera evaluación médica. Objetivo: Relacionar las lesiones por fuerzas mecánicas con las torsiones testiculares en pacientes menores de 18 años. Métodos: Se realizó un estudio retrospectivo, descriptivo, no experimental de corte transversal utilizando como población los datos proporcionados por el Hospital General IESS Quevedo de pacientes que hayan egresado con diagnostico CIE 10 – N44 torsión del testículo desde junio 2017 a junio 2020. Resultados: Del total de pacientes incluidos en el estudio (n = 35) un 9% de (n = 3) ellos presentaron un antecedente de lesiones testiculares por fuerzas mecánicas. Todos ellos fueron manejados de forma expectante debido a que presentaron un hallazgo ecográfico no compatible con torsión testicular en la primera atención medica recibida. Estos pacientes retornaron en un periodo de 3 – 4 días donde la torsión testicular se volvió evidente a la ecografía testicular. Conclusiones: Se vinculó 3 casos de torsión testicular con su antecedente lesional por fuerzas mecánicas por lo que se demuestra una relación causal entre estas 2 entidades.
Background: Testicular torsions mainly control the adolescent population. Among the cases registered at the IESS Quevedo General Hospital, cases have been reported of patients who have come for an acute scrotal picture after a traumatic antecedent and who after initial management have returned to the emergency service due to its persistence, evidencing a Testicular torsion that was not evident during the first medical evaluation. Objective: To relate injuries due to mechanical forces with testicular torsions in patients under 18 years of age. Methods: A retrospective, descriptive, non-experimental cross-sectional study was carried out using as population the data provided by the IESS Quevedo General Hospital of patients who have discharged with a diagnosis of ICD 10 - N44 torsion of the testicle from June 2017 to June 2020. Results: Of the total of patients included in the study (n = 35), 9% (n = 3) had a history of testicular injuries due to mechanical forces. All of them were managed expectantly because they presented an ultrasound finding not compatible with testicular torsion in the first medical attention received. These returned in a period of 3-4 days where testicular torsion became evident on testicular ultrasound. Conclusions: 3 cases of testicular torsion were linked to their injury history due to mechanical forces, which is why these show a causal relationship between these 2 entities.
Background: Testicular torsions mainly control the adolescent population. Among the cases registered at the IESS Quevedo General Hospital, cases have been reported of patients who have come for an acute scrotal picture after a traumatic antecedent and who after initial management have returned to the emergency service due to its persistence, evidencing a Testicular torsion that was not evident during the first medical evaluation. Objective: To relate injuries due to mechanical forces with testicular torsions in patients under 18 years of age. Methods: A retrospective, descriptive, non-experimental cross-sectional study was carried out using as population the data provided by the IESS Quevedo General Hospital of patients who have discharged with a diagnosis of ICD 10 - N44 torsion of the testicle from June 2017 to June 2020. Results: Of the total of patients included in the study (n = 35), 9% (n = 3) had a history of testicular injuries due to mechanical forces. All of them were managed expectantly because they presented an ultrasound finding not compatible with testicular torsion in the first medical attention received. These returned in a period of 3-4 days where testicular torsion became evident on testicular ultrasound. Conclusions: 3 cases of testicular torsion were linked to their injury history due to mechanical forces, which is why these show a causal relationship between these 2 entities.
Descripción
PDF
Palabras clave
Síndrome escrotal agudo, Escroto, Torsión del cordón espermático, Estudios retrospectivos, Epidemiología descriptiva, Hospital General IESS Quevedo, Cantón Quevedo, Ecuador