1. MANAGEMENT OF ACUTE SCROTUM SYNDROME IN CHILDREN: EFFICIENCY AND OUTCOME Fangli Dániel, General Medicine, IV. Year Elec Emese, General Nursing, IV. Year Iszlai Tamás, General Medicine, IV. Year Dr. Derzsi Zoltán, university assistant Dr. Horea Gozar, lecturer

2. Introduction Objective Material and method Results Conclusion

3. Introduction various pathologies inflammation Acute scrotum syndrome

4. Objective Immediate intervention costprognosistime

5. Material and Method 01.01. 2008 31.12. 2014

6. 235 male patients, between the age of 1 day and 18 years hospital admission persistence of symptoms applied treatment histology results period of hospitalization outcome discharge diagnosis treatment cost retrospective study retrospective study

7. Results 235 patients 76 Morgagni hydatid torsion

8. Results 235 patients 56 testicular torsion

9. Results 235 patients 51 orchiepididymitis 21 testicular torsion with irreversible necrosis

10. Results 235 patients 15 haematoma 4 testicular cancer modification 12 other pathologies

11. Results 77 testicle torsion Quick intervention 72.7% saved testicles

12. Results 7 days 2 days Hospitalisation period

13. Results 54 hours1420 RON

14. Conclusion Immediate Intervention Positive recovery and prognosis Hospitalisation period Cost of hospitalisation increased decreased

15. Bibliography 1. Lev M, Ramon J, Mor Y, Jacobson JM, Soudack M - Sonographic appearances of torsion of the appendix testis and appendix epididymis in children. J Clin Ultrasound, 2015 Feb 20. 2. Srinath H - Acute scrotal pain, Aust Fam Physician 2013 Nov; 42(11):790-2. 3. Bilbisi AA, Koontz WW Jr, Prout GR Jr - Acute scrotal swelling in children, Va Med Mon (1918). 1969 Sep;96(9):514-8. 4. Davis JE, Silverman M -Scrotal emergencies, Emerg Med Clin North Am 2011 Aug;29(3):469-84 5. Aworanti O, Awadalla S - An unusual cause of acute scrotum in a child, Ir Med J 2014 Nov-Dec;107(10):327-8. 6. Tajchner L, Larkin JO, Bourke MG, Waldron R, Barry K, Eustace PW - Management of the acute scrotum in a district general hospital: 10-year experience, ScientificWorldJournal 2009 Apr 28;9:281-6. 7. Dienye PO Jebbin NJ - Acute appendicitis masquerading as acute scrotum: a case report,Am J Mens Health.2011 Nov;5(6):524-7 8. Baldisserotto M -Scrotal emergencies,Pediatr Radiol. 2009 May;39(5):516-21 9. Derksen RJ, van der Vlist GJ, van Dalen T - [The 'acute scrotum' in children: the clinical presentation as indicated by a rapid operation], Ned Tijdschr Geneeskd. 2005 Jan 15;149(3):113-5

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