Factors Associated with Delayed Presentation and Misdiagnosis of Testicular Torsion: A Case-Control Study

Christopher E Bayne; Jeffrey Villanueva; Tanya D Davis; Hans G Pohl; H G Rushton

doi:10.1016/j.jpeds.2017.03.037

Factors Associated with Delayed Presentation and Misdiagnosis of Testicular Torsion: A Case-Control Study

J Pediatr. 2017 Jul:186:200-204. doi: 10.1016/j.jpeds.2017.03.037. Epub 2017 Apr 18.

Authors

Christopher E Bayne¹, Jeffrey Villanueva², Tanya D Davis³, Hans G Pohl³, H G Rushton³

Affiliations

¹ Division of Pediatric Urology, Children's National Health System, Washington, DC. Electronic address: cbayne3@childrensnational.org.
² Department of Urology, Medstar Georgetown University Hospital, Washington, DC.
³ Division of Pediatric Urology, Children's National Health System, Washington, DC.

PMID: 28427778
DOI: 10.1016/j.jpeds.2017.03.037

Abstract

We identified factors associated with delay in presentation and misdiagnosis of testicular torsion. Compared with acute cases, delayed presentations were more likely to report isolated abdominal pain, developmental disorders, and history of recent genital trauma. Failure to perform a genitourinary examination or scrotal imaging was associated with misdiagnosis.

Keywords: adolescent medicine; misdiagnosis; pediatrics; signs and symptoms; spermatic cord torsion; testicular torsion.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adolescent
Case-Control Studies
Child
Child, Preschool
Delayed Diagnosis*
Diagnostic Errors*
Humans
Infant
Male
Retrospective Studies
Risk Factors
Spermatic Cord Torsion / complications*
Spermatic Cord Torsion / diagnosis*
Spermatic Cord Torsion / therapy