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Indian Pediatrics 2014-Sep

Bilateral torsion of testes with purpura fulminans.

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Anjan Kumar Dhua
Manoj Joshi
Nishad Plakkal
Lalitha Krishnan

Keywords

Abstract

BACKGROUND

Purpura fulminans and bilateral perinatal testicular torsion are rare and may co-exist.

METHODS

A 3-day-old neonate with bilateral swelling of scrotum; torsion and gangrenous changes were observed on exploration.

METHODS

Left orchidectomy with preservation of right testis was done.

RESULTS

At 2-month follow-up, right testis showed signs of atrophy. Child developed full thickness skin lesions and died of sepsis.

CONCLUSIONS

Perinatal testicular torsion can be bilateral, and requires urgent surgical exploration.

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