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Scrotal wall hemangioma in an infant
465
ABSTRACTS Genital Abnormalities in Male Patients with Cystic Fibrosis. D. S. Holsclaw, A. D. Perlmutter, H. Jockin, and H. Shwachman. J. Urol. 1065~574 (October), 1971. A report is given of 285 male patients with cystic fibrosis, including 14 who underwent surgery and 29 autopsy cases. There were 42 patients with inguinal hernias, 12 with hydroceles, and nine with undescended testes. In all 29 postmortem cases vas deferens obstruction was noted, usually associated with an abnormally small or poorly developed epididymis. Also, the seminal vesicles and ejaculatory ducts were usually either abnormal or missing. Of 24 married male patients, with 89 man-years of exposure, only one offspring has been documented. The authors emphasize the much greater incidence of hernias, and undescended testicles, than in the normal population, and that the finding of an absent vas deferens at the time of hernioplasty or orchidopexy should alert the surgeon to the possibility of cystic fibrosis.-S. Kim The “Long Loop Vas” Orchidopexy for the High Undescended Testis. H. William Clatworthy, Jr., Robert S. Hollabaugh, and Jay L. Giosfeld. Amer. Surg. 3869-73 (February), 1972. This is a good review of the StephensFowler “long loop vas” orchidopexy and a discussion of the Columbus experience with 32 patients. In 11 operations with nine intraabdominal testes good results are recorded in six children.-E. 7. Berman Intrauterine and Newborn Torsion of Spermatic Cord. J. A. Whitesel. J. Urol. 106: 786-788 (November), 1971. A case report of a newborn torsion is presented. The author describes the difference between extra and intravaginal torsion and suggests that the extravaginal be referred to as torsion of the spermatic cord and the intravaginal as torsion of the testicle. Management consists of immediate bilateral exploration, with reduction of the torsion and fixation of both testes-s. Kim Acute Scrotum in Children with Emphasis on Torsion of Spermatic Cord. N. H. Moharib and H. P. Krahn. J. Urol 104:601603 (October), 1970.
Of 56 cases of acute scrotum 24 had torsion of testis. The ages at presentation ranged from 3 days to 15 yr. Pain and swelling, either sudden or gradual, were the most common presentation. Gradual discoloration of the hemiscrotum and secondary hydrocele usually occurred. Differential diagnosis included torsion of appendages, acute epididymitis, mumps orchitis, and incarcerated hernia. Authors advocate orchiectomy if testis is not viable, and fixation of contralateral testis. Exploration is advised since epididymitis is uncommon in this age group. Seven of 19 testes were viable, but six of eight were viable when symptoms were less than 24 hr.-S. H. Kim Torsion of Testicular Appendages: Presentation of 43 New Cases and a Collective Review. R. W. Skoglund, J. W. McRoberts, and H. Ragde. J. Urol. 104:598-600 (October), 1970. Four testicular appendages (appendix epididymis, paradidymis, testis, appendix and vas aberrans) can twist, the most common being the appendix testis. Of the cases reviewed, the peak incidence occurred between 10 and 13 yr. Both testes were affected equally, and 13 of 16 had preceding vigorous play or sustained injury to the scrotal area. All 43 presented with pain, and 36 of 43 had scrotal swelling. Differentiation from testicular torsion can be made if the patient can localize pain to the upper pole, and if careful transillumination reveals the blackish appendage. The authors emphasize scrotal exploration if testicular torsion cannot be ruled out.-S. H. Kim Scrotal Wail Hemangioma In An Infant. D. 7. Mininberg and D. P. Harley. J. Urol. 106:789-790 (November), 1971. A case report of a l-yr-old boy with a left paratesticular mass, which, at surgical exploration, turned out to be a hemangioma of the scrotal wall. Surgical excision and convalescence were uneventful.-S Kim
MUSCULOSKELETAL
SYSTEM
Supracondylar Fractures of the HumerusPrevention of Cubitus Varus. R. 0. D’Ambrosia. J. Bone Joint Surg. 54A:6& 66 (January), 1972.
ABSTRACTS Genital Abnormalities in Male Patients with Cystic Fibrosis. D. S. Holsclaw, A. D. Perlmutter, H. Jockin, and H. Shwachman. J. Urol. 1065~574 (October), 1971. A report is given of 285 male patients with cystic fibrosis, including 14 who underwent surgery and 29 autopsy cases. There were 42 patients with inguinal hernias, 12 with hydroceles, and nine with undescended testes. In all 29 postmortem cases vas deferens obstruction was noted, usually associated with an abnormally small or poorly developed epididymis. Also, the seminal vesicles and ejaculatory ducts were usually either abnormal or missing. Of 24 married male patients, with 89 man-years of exposure, only one offspring has been documented. The authors emphasize the much greater incidence of hernias, and undescended testicles, than in the normal population, and that the finding of an absent vas deferens at the time of hernioplasty or orchidopexy should alert the surgeon to the possibility of cystic fibrosis.-S. Kim The “Long Loop Vas” Orchidopexy for the High Undescended Testis. H. William Clatworthy, Jr., Robert S. Hollabaugh, and Jay L. Giosfeld. Amer. Surg. 3869-73 (February), 1972. This is a good review of the StephensFowler “long loop vas” orchidopexy and a discussion of the Columbus experience with 32 patients. In 11 operations with nine intraabdominal testes good results are recorded in six children.-E. 7. Berman Intrauterine and Newborn Torsion of Spermatic Cord. J. A. Whitesel. J. Urol. 106: 786-788 (November), 1971. A case report of a newborn torsion is presented. The author describes the difference between extra and intravaginal torsion and suggests that the extravaginal be referred to as torsion of the spermatic cord and the intravaginal as torsion of the testicle. Management consists of immediate bilateral exploration, with reduction of the torsion and fixation of both testes-s. Kim Acute Scrotum in Children with Emphasis on Torsion of Spermatic Cord. N. H. Moharib and H. P. Krahn. J. Urol 104:601603 (October), 1970.
Of 56 cases of acute scrotum 24 had torsion of testis. The ages at presentation ranged from 3 days to 15 yr. Pain and swelling, either sudden or gradual, were the most common presentation. Gradual discoloration of the hemiscrotum and secondary hydrocele usually occurred. Differential diagnosis included torsion of appendages, acute epididymitis, mumps orchitis, and incarcerated hernia. Authors advocate orchiectomy if testis is not viable, and fixation of contralateral testis. Exploration is advised since epididymitis is uncommon in this age group. Seven of 19 testes were viable, but six of eight were viable when symptoms were less than 24 hr.-S. H. Kim Torsion of Testicular Appendages: Presentation of 43 New Cases and a Collective Review. R. W. Skoglund, J. W. McRoberts, and H. Ragde. J. Urol. 104:598-600 (October), 1970. Four testicular appendages (appendix epididymis, paradidymis, testis, appendix and vas aberrans) can twist, the most common being the appendix testis. Of the cases reviewed, the peak incidence occurred between 10 and 13 yr. Both testes were affected equally, and 13 of 16 had preceding vigorous play or sustained injury to the scrotal area. All 43 presented with pain, and 36 of 43 had scrotal swelling. Differentiation from testicular torsion can be made if the patient can localize pain to the upper pole, and if careful transillumination reveals the blackish appendage. The authors emphasize scrotal exploration if testicular torsion cannot be ruled out.-S. H. Kim Scrotal Wail Hemangioma In An Infant. D. 7. Mininberg and D. P. Harley. J. Urol. 106:789-790 (November), 1971. A case report of a l-yr-old boy with a left paratesticular mass, which, at surgical exploration, turned out to be a hemangioma of the scrotal wall. Surgical excision and convalescence were uneventful.-S Kim
MUSCULOSKELETAL
SYSTEM
Supracondylar Fractures of the HumerusPrevention of Cubitus Varus. R. 0. D’Ambrosia. J. Bone Joint Surg. 54A:6& 66 (January), 1972.