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February 1967

Simultaneous Bilateral Torsion of the Testes in a Newborn Infant

Author Affiliations

From the Pediatric Surgical Service, Boston City Hospital, and the Department of Surgery, Boston University School of Medicine.

Arch Surg. 1967;94(2):299-300. doi:10.1001/archsurg.1967.01330080137034

SINCE the initial description of torsion of the testis in an infant by Taylor1 in 1897, a total of 22 cases have been reported in children under 24 hours of age. This is the first reported case of simultaneous bilateral torsion of the testis in a newborn infant.

Report of Case  The patient (BCH 2051884), a Negro male infant, weighing 3.8 kg (8 lb 5 oz) was the product of a full-term, uncomplicated pregnancy. He was delivered from the cephalic presentation with low forceps after a two-hour period of active labor. There were no signs of distress and no abnormalities were noted except for a diffusely enlarged and discolored scrotum. There was no bulge in the inguinal canals to suggest an inguinal hernia. The abdomen was not distended and the rectal examination was normal. The infant had a meconium stool at 10 hours of age. The scrotum was dark

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