ABSTRACT
Torsion of the neonatal testis is a well-recognized clinical entity, which accounts for about 10" of all cases of testicular torsion admitted to pediatric surgical centers. Neonatal torsion appears to be a condition of large term babies, and it rarely, if ever, affects the preterm infant. Previously, breech delivery was suspected as being a causative factor. The testis feels firmly adherent to the scrotal wall and is apparently nontender. While there may be some enlargement of the hemiscrotum, this is not usually marked. Diagnosis can usually be made on the clinical features alone. The differential diagnosis includes hydrocele, testicular tumor, trauma, adrenal hemorrhage, and meconium peritonitis with tracking down a patent processus. A clinical diagnosis of neonatal torsion is sufficient indication for scrotal exploration. Under general anesthesia, the scrotum is incised in the midline and dissection continued into the affected hemiscrotum.
