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Surgical Anatomy
,DVRQ ' .\ULD]LV -RKQ 'LPRSRXORV *HRUJH 6DNHOODULV -XUJHQ:DOGVFKPLGW†, George Charissis
Department of Pediatric Surgery (IDK, JD, GS, GC), University Hospital of Heraklion, Greece, and Department of Pediatric Surgery (JW, GC), Universitaetsklinikum Benjamin Franklin, Freie Universitaet Berlin, Berlin, Germany
ABSTRACT
Purpose:7RUHYLHZDQGHYDOXDWHWKHDQDWRPLFDOGH¿QLWLRQVRISHULQDWDOH[WUDYDJLQDOWRUVLRQ(97RIWKHWHVWLV
Materials and Methods:$QH[WHQVLYHUHYLHZRIWKHOLWHUDWXUHZDVPDGHWRUHYHDOWKHSUHYDOHQWDQDWRPLFDOEDFNJURXQG
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Results:7KHPRVWFRPPRQO\DFFHSWHGVXJJHVWLRQVGHVFULEHDQ(97ZLWKLQGDUWRVPXVFOHWKDWLQFOXGHVDOOOD\HUVRIVSHU -PDWLFFRUGRUDQ(97RXWVLGHSDULHWDOOD\HURIWXQLFDYDJLQDOLVZLWKLQLQWHUQDOVSHUPDWLFIDVFLD+RZHYHUERWKRIWKHP ZHUHIRXQGLQDGHTXDWHO\GRFXPHQWHGZKLOHDODUJHYROXPHRIFRQWURYHUVLDOGDWDKDVEHHQDFFXPXODWHGWKDWUDLVHVGRXEWV UHJDUGLQJWKHYDOLGLW\RIVXFKGH¿QLWLRQV7KHJURVVDSSHDUDQFHRIWZLVWHGWHVWHVIDLOHGWRFRQ¿UPERWKDQ(97LQFOXGLQJ DOOOD\HUVRIWKHVSHUPDWLFFRUGDQGDOVRDQ(97RXWVLGHWXQLFDYDJLQDOLVDVSRVVLEOHPHFKDQLVPVRIWRUVLRQ
Conclusion:7KHDQDWRPLFDOEDVLVRI(97UHPDLQVXQFOHDUDQGIXUWKHULQYHVWLJDWLRQLVUHTXLUHG
Key words: testis; spermatic cord; anomalous; torsion
Int Braz J Urol. 2008; 34: 617-26
INTRODUCTION
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MATERIALS AND METHODS
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Anatomy of Extravaginal Torsion
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RESULTS
Gross Appearance of Extravaginal Torsion
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Theories on the Anatomical Basis of Extravaginal Torsion
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Anatomy of Extravaginal Torsion
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Figure 3 – Twists of spermatic cord in case of extravaginal torsion (EVT) are located much more proximal compared with intravaginal testicular torsion. Moreover, in contrast with bell clapper deformity appearing in cases of intra-vaginal torsion, in EVT testicular attachments with tunica vaginalis appear to be present.
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COMMENTS
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Anatomy of Extravaginal Torsion
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CONCLUSION
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Section of Pediatric Urology University of Sao Paulo, USP Sao Paulo, SP, Brazil E-mail: [email protected]
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Anatomy of Extravaginal Torsion
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