Spermatic Cord Torsion in the Neonate: A False Negative by Sonography

Abstract

Multiple challenges are encountered in the evaluation and treatment of spermatic cord torsion in the neonate, including confident evaluation and treatment. The authors report a full-term male presenting with multiple birth-related injuries, including suspected torsion of the spermatic cord, at 22 hours of life. Diagnostic Doppler sonography study was normal. This case is an example in which a high clinical index of suspicion, despite a reassuring sonographic examination, guided the appropriate therapy for salvaging a viable testicle with torsion of the spermatic cord.