[Prenatal torsion of the spermatic cord]

Abstract

Objectives: Considerations on a case of prenatal torsion of the spermatic cord.

Methods: Review of cases reported in the literature.

Results: Testicular torsion rarely occurs in the perinatal period. Nearly a hundred cases with surgical confirmation have been reported.

Conclusions: Prenatal torsion is almost exclusively extravaginal, while postnatal extravaginal torsion is extremely rare. The possibility of finding a viable testis is extremely remote. The treatment should be directed at minimizing any potential perioperative complications by scheduling an elective operation after the neonate is medically stable.