TITLE:
Twisting of the Spermatic Cord in an Elderly Subject at the Yaounde Central Hospital: About a Case
AUTHORS:
Jean Cedrick Fouda, Junior Bartthelemy Mekeme Mekeme, Philip Fernandez Owon’Abessolo, Marcella Derboise Christelle Biyouma, Ranibel Allo, Axel Stephane Nwaha Makon, Frantz Guy Ngalle Epoupa, Landry Oriole Mbouche, Cedric Mayopa Dongmo, Achille Aurèle Mbassi, Medjo Hell, Pierre Joseph Fouda, Arthur Essomba
KEYWORDS:
Twisting of the Spermatic Cord, 80-Year-Old Subject, Diagnostic, Emergency
JOURNAL NAME:
Open Journal of Urology,
Vol.12 No.7,
July
18,
2022
ABSTRACT: Introduction: Twisting of the spermatic cord is part of urological emergencies. It can occur at any age with a predilection for children and adolescents. There is no literature on spermatic cord torsion in octogenarians, probably due to its rarity. The majority of recent studies show spermatic cord torsion in patients under 55 years of age. This is why we present a case of spermatic cord torsion in an 80 years old subject. Case Presentation: We present a case of torsion of the spermatic cord in an 80-year-old subject. The diagnosis was made on anamnestic and clinical grounds. The patient presented with scrotal pain, unilateral, of sudden onset, violent intensity without urinary signs with an ascended testicle. The urine dipstick was unremarkable. Management was done surgically and as an emergency. The postoperative course was satisfactory. Conclusion: Spermatic cord torsion in octogenarians is exceptional and should be suspected in the first instance in the presence of any sudden onset, severe testicular pain without urinary signs with an ascended testicle and a negative urine dipstick.