{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T00:05:01Z","timestamp":1783469101844,"version":"3.55.0"},"reference-count":7,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2004,1,1]],"date-time":"2004-01-01T00:00:00Z","timestamp":1072915200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2004,1]]},"abstract":"<jats:p>One hundred and seventy-eight patients presenting with an acute scrotum during a period of 18 years (1978\u20131997) were reviewed retrospectively. Fifty per cent had testicular torsion, with a mean age of 23 years (range 3 weeks-55 years). Torsion was significantly more common in the cold harmattan season (October-early March). The salvage rate of torted testes was 52%. Ingui-noscrotal hernia was the cause of testicular infarction in 10% and is an important contributor to male infertility. Twelve per cent of cases of suspected torsion were found to have epididymo-orchitis, at exploration. Twenty-three (13%) patients presented with scrotal gangrene (Fournier's gangrene) which did not result in testicular loss. There was significant morbidity following intervention by non-doctors, and misdiagnosis from unsuspecting physicians. The acute scrotum affecting young patients is a significant cause of male infertility and morbidity in Zaria. Early recognition, prompt treatment and re-education of those who may provide the first line care for such patients will reduce the morbidity and pathologic consequences following neglect.<\/jats:p>","DOI":"10.1177\/004947550403400117","type":"journal-article","created":{"date-parts":[[2017,1,11]],"date-time":"2017-01-11T00:32:01Z","timestamp":1484094721000},"page":"34-36","source":"Crossref","is-referenced-by-count":10,"title":["Acute Scrotum in Nigeria: An 18-Year Review"],"prefix":"10.1177","volume":"34","author":[{"given":"N H","family":"Mbibu","sequence":"first","affiliation":[{"name":"Department of Surgery, Ahmadu Bello University Teaching Hospital Zaria, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H Y","family":"Maitama","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ahmadu Bello University Teaching Hospital Zaria, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E A","family":"Ameh","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ahmadu Bello University Teaching Hospital Zaria, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L M","family":"Khalid","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ahmadu Bello University Teaching Hospital Zaria, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L M","family":"Adams","sequence":"additional","affiliation":[{"name":"Department of Surgery, Ahmadu Bello University Teaching Hospital Zaria, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2004,1,1]]},"reference":[{"key":"bibr1-004947550403400117","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.292.6517.363"},{"key":"bibr2-004947550403400117","first-page":"664","volume":"200","author":"Phillip J","year":"1984","journal-title":"Am Surg"},{"key":"bibr3-004947550403400117","first-page":"529","volume":"70","author":"Gamble WG","year":"1987","journal-title":"Minerva Med"},{"key":"bibr4-004947550403400117","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.285.6353.1459"},{"key":"bibr5-004947550403400117","first-page":"25","volume":"1","author":"Mbibu NH","year":"1999","journal-title":"Nig J Surg Res"},{"key":"bibr6-004947550403400117","first-page":"404","volume":"27","author":"Preshaw RM","year":"1984","journal-title":"Can J Surg"},{"key":"bibr7-004947550403400117","first-page":"1031","volume":"39","author":"Hoshino H","year":"1993","journal-title":"Hinyokika Kiyo"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/004947550403400117","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/004947550403400117","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T13:27:25Z","timestamp":1777642045000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/004947550403400117"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,1]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2004,1]]}},"alternative-id":["10.1177\/004947550403400117"],"URL":"https:\/\/doi.org\/10.1177\/004947550403400117","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,1]]}}}