MANAGEMENT OF ACUTE SCROTUM SYNDROME IN CHILDREN: EFFICIENCY AND OUTCOME Fangli Dániel, General Medicine, IV. YearElec Emese, General Nursing, IV. YearIszlai Tamás, General Medicine, IV. Year

Dr. Derzsi Zoltán, university assistantDr. Horea Gozar, lecturer

Introduction

Objective

Material and method

Results

Conclusion

Introduction

various pathologies

inflammation

Acute scrotum syndrome

Objective

Immediate interventi

on

cost

prognosis

time

Material and Method

01.01.2008

31.12.2014

235 male patients, between the age of 1 day and 18 years

hospital admissionpersistence of

symptomsapplied treatmenthistology results

period of hospitalization

outcomedischarge diagnosis

treatment cost

retrospective study

Results

235 patients

76 Morgagni hydatid torsion

Results

235 patients

56 testicular torsion

Results

235 patients

51 orchiepididymitis

21 testicular torsion with irreversible necrosis

Results

235 patients

15 haematoma

4 testicular cancer modification

12 other pathologies

Results

Morgagni32%

Torsion24%

Irr.Torsion9%

Orhiepy.22%

Haematoma6%

Cancer2%

Other5%

Results

Morgagni Torsion Irr.Torsion Orhiepy. Haematoma

Cancer Other

77 testicle torsion

Quick interventio

n

72.7% saved

testicles

Results

7 days

2 days

2,171.510 RON

579.130 RON

CostHospitalisation period

Results

54 hours 1420 RON

Conclusion

Immediate Intervention

Positive recovery and prognosis

Hospitalisation periodCost of hospitalisation

incre

ased

decre

ased

Bibliography

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2. Srinath H - Acute scrotal pain, Aust Fam Physician 2013 Nov; 42(11):790-2.

3. Bilbisi AA, Koontz WW Jr, Prout GR Jr - Acute scrotal swelling in children, Va Med Mon (1918). 1969 Sep;96(9):514-8.

4. Davis JE, Silverman M -Scrotal emergencies, Emerg Med Clin North Am 2011 Aug;29(3):469-84

5. Aworanti O, Awadalla S - An unusual cause of acute scrotum in a child, Ir Med J 2014 Nov-Dec;107(10):327-8.

6. Tajchner L, Larkin JO, Bourke MG, Waldron R, Barry K, Eustace PW - Management of the acute scrotum in a district general hospital: 10-year experience, ScientificWorldJournal 2009 Apr 28;9:281-6.

7. Dienye PO Jebbin NJ - Acute appendicitis masquerading as acute scrotum: a case report,Am J Mens Health.2011 Nov;5(6):524-7

8. Baldisserotto M -Scrotal emergencies,Pediatr Radiol. 2009 May;39(5):516-21

9. Derksen RJ, van der Vlist GJ, van Dalen T - [The 'acute scrotum' in children: the clinical presentation as indicated by a rapid operation], Ned Tijdschr Geneeskd. 2005 Jan 15;149(3):113-5

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