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Subjective parents, 3-year-old children have to cut off 1 “tomato seed”

06/06/2022 12:22 GMT+7

Doctor Ho Trung Cuong – Department of General Surgery – Children’s Hospital 1, Ho Chi Minh City, said that around 11pm on May 31, 2022, doctors received a case of a 3-year-old boy admitted to the hospital because of a regional bulge. inguinal pain.

Her mother said, her stomach pain from May 29 but not much, in the evening she complained a lot, pulled down her pants to see a bulge in the groin area, so she took her to the doctor. The doctors examined and found a bulge in the groin area, and at the same time, one testicle was absent on one side of the scrotum, so they thought it might be hidden testicular torsion.

The ultrasound results showed that the doctor’s diagnosis was “no testicular perfusion”. The baby was quickly hospitalized for emergency surgery. Unfortunately, even though the doctor had untwisted and waited, the testicle was still unable to recover, the team had to remove the necrotic right testicle along with the remaining testicle to prevent torsion in the future. In this case, Dr. Cuong said that the family knew that the baby had an undescended testicle before, but were afraid not to operate for fear that the baby was too young, leading to sad consequences.

Subjective parents, 3-year-old children have to cut off 1 “tomato seed”
A testicular torsion surgery.

According to Dr. Cuong, during the embryonic period, the testicles are located in the abdomen and gradually move down to the scrotum. Absence of a testicle in the scrotum (called an undescended testicle or undescended testicle) is quite common in boys.

According to current treatment guidelines, this condition requires surgery, bringing the testicle into the scrotum by the time the baby is 6 months old (the approach can be laparoscopic or open surgery depending on the location of the testicle). ).

Any delay in performing testicular scrotal surgery will interfere with testicular growth, testicular atrophy, or malignant metaplasia.

Testicular torsion is a condition in which the blood vessel that feeds the testicle is twisted, affecting the perfusion of the testicle. If not operated in time, it will cause testicular necrosis and must be removed.

Dr. Cuong recommends that parents should pay attention to observe the baby’s genitals because they are often hidden behind diapers or pants, so they receive little attention. Any abnormality, even the smallest, should take the baby to the doctor for the most appropriate examination and advice.

Khanh Chi

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