RESUMO
Background: Testicular torsion is a rare condition in canines, affecting any animal, regardless of age and racial predisposition. The possible cause, when talking about young dogs, is often unreliable, and can be associated with traumatic processes or excessive physical activity. Dogs with spermatic cord twist usually show signs of acute and sudden pain in one of the testicles that can be propagated to the abdomen; besides edema, heat and scrotal flush. The absence of blood flow toward the affected testicle can be observed, however, the definitive diagnosis can only be confirmed through a surgical procedure or necropsy. This situation is considered a medical emergency that requires surgical intervention for resolution and has treatment of choice bilateral orchiectomy. The objective of this study was to report the case of a testicular torsion inside the scrotal pouch of a young dog.Case: A 6-month-old male Poodle dog, weighing 6.40 kg, was attended at the Metropolitan Veterinary Polyclinic, located in the municipality of Caucaia, Ceará, Brazil. During anamnesis it was reported by the owner of the animal an suddenly increase in volume of the scrotal pouch and right testicle. The physical examination observed normal mucous membranes, lymphadenopathy, capillary refill time of 2 s, temperature of 39.2°C, heart rate of 72 beats per minute and 68 breaths per minute. Hematologic test was requested, creatinine, dosage of ALT and ultrasound as complementary exams. The result of hemogram presented thrombocytopenia (150,000/mm3 ) and the presence of giant platelets. Besides, a biochemical series presented no alterations. On the Doppler ultrasound, the right testicle proved to show loss of normal structure, enlarged scrotum, hyperechoic epididymal region with adjacent liquid and absence of local vascularization.[...](AU)
Assuntos
Animais , Masculino , Cães , Torção do Cordão Espermático/cirurgia , Torção do Cordão Espermático/veterinária , Escroto/cirurgia , Testículo/patologia , Isquemia/veterinária , Orquiectomia/veterinária , Necrose/veterináriaRESUMO
Background: Testicular torsion is a rare condition in canines, affecting any animal, regardless of age and racial predisposition. The possible cause, when talking about young dogs, is often unreliable, and can be associated with traumatic processes or excessive physical activity. Dogs with spermatic cord twist usually show signs of acute and sudden pain in one of the testicles that can be propagated to the abdomen; besides edema, heat and scrotal flush. The absence of blood flow toward the affected testicle can be observed, however, the definitive diagnosis can only be confirmed through a surgical procedure or necropsy. This situation is considered a medical emergency that requires surgical intervention for resolution and has treatment of choice bilateral orchiectomy. The objective of this study was to report the case of a testicular torsion inside the scrotal pouch of a young dog.Case: A 6-month-old male Poodle dog, weighing 6.40 kg, was attended at the Metropolitan Veterinary Polyclinic, located in the municipality of Caucaia, Ceará, Brazil. During anamnesis it was reported by the owner of the animal an suddenly increase in volume of the scrotal pouch and right testicle. The physical examination observed normal mucous membranes, lymphadenopathy, capillary refill time of 2 s, temperature of 39.2°C, heart rate of 72 beats per minute and 68 breaths per minute. Hematologic test was requested, creatinine, dosage of ALT and ultrasound as complementary exams. The result of hemogram presented thrombocytopenia (150,000/mm3 ) and the presence of giant platelets. Besides, a biochemical series presented no alterations. On the Doppler ultrasound, the right testicle proved to show loss of normal structure, enlarged scrotum, hyperechoic epididymal region with adjacent liquid and absence of local vascularization.[...]