Pain in the bollox.

[surgiblog]

Got to sleep at 00:30.
Call from casualty at 01:58.

One 19 year old with testicular torsion.
Now admitted, consented, and booked for scrotal exploration at 06:30.

Back to bed now for hopefully 3.5 hours sleep. Wishful thinking I'm sure.

Comments

s

[blackhallgreen]

what's testicular torsion? do educate.

Re: s

[surgiblog]

Testicular torsion:

The testicles recieve their blood supply via the paired testicular arteries, branches of the aorta. Each artery is contained within the spermatic cord, along with the vas deferens, cremasteric muscle, and other tissues. The cord passes through the inguinal canal from the abdomen into the scrotal sac. Since the testicle is hanging from this cord it can sometimes twist, or "tort". This torsion of the testicle causes it's blood supply to become compromised, as the artery is kinked, similar to if you twist a hose. This is a surgical emergeny as the testicle only remains viable as a functional tissue for approx 10-12 hours after compromise of it's blood supply.
This is a common condition amongst young men. Presents with acute onset testicular and lower abdominal pain, classically described as like recieving a kick in the testicle, without any such trauma having occured.

any further questions?

O

[blackhallgreen]

did you sort out yer man's bollox pain in the end?