PMC6256121_01
Preoperative photo of the external genitals.
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PMC6256121_01_fped-06-00318-g0001.jpg
F1
A 2-day old, male baby, product of a normal vaginal delivery, had a right hemi-scrotal swelling since birth, with bluish scrotal pigmentation (Figure 1).
Doppler US showed (A) no blood flow to the right testis with (B) preservation of the vascularity of the left testis.
fped-06-00318-g0002.jpg
PMC6256121_01_fped-06-00318-g0002.jpg
F2
Color Doppler Ultrasound of the scrotum, showed absence of vascularity in the right testis and maintained blood flow to the other one (Figure 2).
Intraoperative photo showing (A) extra-vaginal torsion of the right side with necrotic testis after opening the tunica vaginalis, (B) left side early onset of extra-vaginal TT and tunica vaginalis freely moving within the hemiscrotal sac with viable testis within it.
fped-06-00318-g0003.jpg
PMC6256121_01_fped-06-00318-g0003.jpg
F3
Right scrotal exploration was done through midline raphe incision and revealed right extra-vaginal testicular torsion with a necrotic testis (Figure 3A). Contralateral exploration showed extra-vaginal testicular torsion with normal vascularity (Figure 3B).