Importance of Touch: Managing Testicular Torsion in a 28-Year-Old With Duchenne Muscular Dystrophy

This case report highlights a case of testicular torsion in a man over the age of 25 with Duchenne muscular dystrophy (DMD), who presented with an atypical pain history, and a Testicular Workup for Ischaemia and Suspected Torsion (TWIST) score negative for exploration. However, based purely on the e...

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Detalles Bibliográficos
Autores principales: Desai, Chaitya, Raghuvanshi, Kshitij, Panesar, Harrypal, Murali, Vinodh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Anesthesiology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8971100/
https://www.ncbi.nlm.nih.gov/pubmed/35371864
http://dx.doi.org/10.7759/cureus.22775
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author Desai, Chaitya
Raghuvanshi, Kshitij
Panesar, Harrypal
Murali, Vinodh
author_facet Desai, Chaitya
Raghuvanshi, Kshitij
Panesar, Harrypal
Murali, Vinodh
author_sort Desai, Chaitya
collection PubMed
description This case report highlights a case of testicular torsion in a man over the age of 25 with Duchenne muscular dystrophy (DMD), who presented with an atypical pain history, and a Testicular Workup for Ischaemia and Suspected Torsion (TWIST) score negative for exploration. However, based purely on the examination findings, scrotal exploration was performed and a torted testis was found. The report demonstrates that in this cohort of patients, a higher index of suspicion is needed to ensure early recognition of the condition. Furthermore, scrotal exploration can be safely conducted under local anaesthesia given the multiple cardiovascular and spinal co-morbidities attributed to DMD.
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spelling pubmed-89711002022-04-01 Importance of Touch: Managing Testicular Torsion in a 28-Year-Old With Duchenne Muscular Dystrophy Desai, Chaitya Raghuvanshi, Kshitij Panesar, Harrypal Murali, Vinodh Cureus Anesthesiology This case report highlights a case of testicular torsion in a man over the age of 25 with Duchenne muscular dystrophy (DMD), who presented with an atypical pain history, and a Testicular Workup for Ischaemia and Suspected Torsion (TWIST) score negative for exploration. However, based purely on the examination findings, scrotal exploration was performed and a torted testis was found. The report demonstrates that in this cohort of patients, a higher index of suspicion is needed to ensure early recognition of the condition. Furthermore, scrotal exploration can be safely conducted under local anaesthesia given the multiple cardiovascular and spinal co-morbidities attributed to DMD. Cureus 2022-03-02 /pmc/articles/PMC8971100/ /pubmed/35371864 http://dx.doi.org/10.7759/cureus.22775 Text en Copyright © 2022, Desai et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Anesthesiology
Desai, Chaitya
Raghuvanshi, Kshitij
Panesar, Harrypal
Murali, Vinodh
Importance of Touch: Managing Testicular Torsion in a 28-Year-Old With Duchenne Muscular Dystrophy
title Importance of Touch: Managing Testicular Torsion in a 28-Year-Old With Duchenne Muscular Dystrophy
title_full Importance of Touch: Managing Testicular Torsion in a 28-Year-Old With Duchenne Muscular Dystrophy
title_fullStr Importance of Touch: Managing Testicular Torsion in a 28-Year-Old With Duchenne Muscular Dystrophy
title_full_unstemmed Importance of Touch: Managing Testicular Torsion in a 28-Year-Old With Duchenne Muscular Dystrophy
title_short Importance of Touch: Managing Testicular Torsion in a 28-Year-Old With Duchenne Muscular Dystrophy
title_sort importance of touch: managing testicular torsion in a 28-year-old with duchenne muscular dystrophy
topic Anesthesiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8971100/
https://www.ncbi.nlm.nih.gov/pubmed/35371864
http://dx.doi.org/10.7759/cureus.22775
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