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June 6, 1953


Author Affiliations

New Haven, Conn.
From the departments of urology, Yale University School of Medicine and New Haven Hospital. Dr. Clarke is now at the Pratt Diagnostic Clinic, New England Center Hospital, Boston.

JAMA. 1953;152(6):521-522. doi:10.1001/jama.1953.63690060009010f

Prompt recognition and surgical treatment of torsion of the testis can save an organ that otherwise usually becomes the site of hemorrhagic necrosis and eventual atrophy. The condition, though not common, is serious for this reason and should be regarded as a surgical emergency. Twenty cases occurred among 153,000 general hospital admissions at New Haven Hospital from 1938 to 1952. We have reviewed these cases in an attempt to characterize the disease as it has been seen here and to compare our observations with those made by others since Delasiauve's1 original description in 1840. Of the 20 patients included in our study, 9 were seen early enough to permit operative reduction and preservation of the testis. In four cases, hemorrhagic necrosis was present by the time of operation, and orchidectomy was required. Spontaneous reduction of torsion occurred in five patients. Two patients seen late in the disease showed gradual

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