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Minerva Medicolegale 2011 June;131(2):39-50

language: Italian

Testicular torsion: case studies and medicolegal aspects

Zaami S., Lauricella M. A., Marinelli E.

Dipartimento di Scienze , Anatomiche, Istologiche, Medico-Legali e dell’apparato Locomotore, Università degli Studi di Roma “La Sapienza”, Roma, Italia


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Testicular torsion is the most frequent causes of acute scrotum. A belated diagnosis can lead to testicular necrosis, a condition that often result in orchiectomy. In these cases the timing of the surgery is of fundamental importance for the recovery of didymus involved. Is therefore necessary guess the importance of a clinical approach aimed at enabling an early therapeutic address. The guidelines developed by the international scientific community have the aim to provide broad indications on the criteria for action to be taken to the cases of “acute scrotum” and using, if necessary, surgical exploration. Are deducible the medico-legal implications of a negligent delay in diagnosis, both in penal and civil matters, especially in prepubertal subjects who are the ones that most frequently undergo this type of problem. Our contribution proposes the examination of 4 cases of litigation generated by testicular torsion, commented on the basis of medical-legal review of the literature published so far on the subject.

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