{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T16:48:59Z","timestamp":1776185339671,"version":"3.50.1"},"reference-count":13,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2022,12,20]],"date-time":"2022-12-20T00:00:00Z","timestamp":1671494400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,1,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_crpm-2022-0013_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Intrauterine testicular torsion is extremely rare and the exact cause remains largely unknown. It is the result of an ischemic insult intrauterine, which presents as either extra-vaginal or intravaginal testicular torsion. Urgent surgical exploration and fixating the contralateral testis is key in the management of this condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_crpm-2022-0013_abs_002\">\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We present here the case of a two-day old neonate with in-born right scrotal swelling admitted at Children\u2019s hospital. The patient was born at term via cesarean section at a private hospital. Upon arrival in the emergency department, he was well hydrated, pink at room temperature with good perfusion. Upon examination, the right testis was found to be enlarged, tense, non-tender visibly reddish with overlying skin excoriation. Trans-illumination was negative in right but positive in the contralateral testis. Both hernial orifices were normal. Doppler ultrasound of the inguinoscrotal area found the right testis to be enlarged (15.6*9.4\u00a0mm) and showed heterogeneous hypoechoic texture with prominent rete testis and no flow on color doppler analysis. An urgent scrotal exploration was undertaken. Intra-operatively there was frank necrotic right testis with intravaginal torsion of the testis and minimal hydrocele. A right orchidectomy and contralateral orchidopexy were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_crpm-2022-0013_abs_003\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Intrauterine testicular torsion should be treated as a surgical emergency. We advocate early recognition of intrauterine testicular torsion, alongside surgical exploration and simultaneous contralateral orchidopexy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/crpm-2022-0013","type":"journal-article","created":{"date-parts":[[2022,12,19]],"date-time":"2022-12-19T13:17:35Z","timestamp":1671455855000},"source":"Crossref","is-referenced-by-count":1,"title":["A case of intra-vaginal intrauterine testicular torsion"],"prefix":"10.1515","volume":"12","author":[{"given":"Murad","family":"Habib","sequence":"first","affiliation":[{"name":"Department of Paediatric surgery, The Children\u2019s hospital , Pakistan Institute of Medical Sciences , Islamabad , Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Bin","family":"Amjad","sequence":"additional","affiliation":[{"name":"Islamabad Medical and Dental College , Islamabad , Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mansoor","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Paediatric surgery, The Children\u2019s hospital , Pakistan Institute of Medical Sciences , Islamabad , Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2022,12,20]]},"reference":[{"key":"2025120518324166514_j_crpm-2022-0013_ref_001","unstructured":"Taylor, MR. A case of testis strangulation of testicle at birth; castration; recovery. Br Med J 1987;1:458\u201360."},{"key":"2025120518324166514_j_crpm-2022-0013_ref_002","doi-asserted-by":"crossref","unstructured":"Callewaert, PR, Van Kerrebroeck, P. New insights into perinatal testicular torsion. Eur J Pediatr 2010;169:705\u201312. https:\/\/doi.org\/10.1007\/s00431-009-1096-8.","DOI":"10.1007\/s00431-009-1096-8"},{"key":"2025120518324166514_j_crpm-2022-0013_ref_003","doi-asserted-by":"crossref","unstructured":"Sauvestre, F, Andr\u00e9, G, Harran, MH, Hemard, M, Carles, D, Pelluard, F. Prenatal testicular torsion: not always in the late third trimester. Urology 2016;89:132\u20133. https:\/\/doi.org\/10.1016\/j.urology.2015.11.024.","DOI":"10.1016\/j.urology.2015.11.024"},{"key":"2025120518324166514_j_crpm-2022-0013_ref_004","doi-asserted-by":"crossref","unstructured":"Rigby, H, Howard, R. Torsion of the testis. Lancet 1907;169:1415\u201321. https:\/\/doi.org\/10.1016\/s0140-6736(00)68042-x.","DOI":"10.1016\/S0140-6736(00)68042-X"},{"key":"2025120518324166514_j_crpm-2022-0013_ref_005","doi-asserted-by":"crossref","unstructured":"Gillenwater, JY, Burros, HM. Torsion of the spermatic cord in utero. JAMA 1966;198:1123\u20134. https:\/\/doi.org\/10.1001\/jama.1966.03110230139040.","DOI":"10.1001\/jama.1966.03110230139040"},{"key":"2025120518324166514_j_crpm-2022-0013_ref_006","doi-asserted-by":"crossref","unstructured":"Arena, F, Nic\u00f2tina, PA, Romeo, C, Zimbaro, G, Arena, S, Zuccarello, B, et al.. Prenatal testicular torsion: ultrasonographic features, management and histopathological findings. Int J Urol 2006;13:135\u201341. https:\/\/doi.org\/10.1111\/j.1442-2042.2006.01247.x.","DOI":"10.1111\/j.1442-2042.2006.01247.x"},{"key":"2025120518324166514_j_crpm-2022-0013_ref_007","doi-asserted-by":"crossref","unstructured":"Burge, DM. Neonatal testicular torsion and infarction: aetiology and management. Br J Urol 1987;9:70\u20133. https:\/\/doi.org\/10.1111\/j.1464-410x.1987.tb04583.x.","DOI":"10.1111\/j.1464-410X.1987.tb04583.x"},{"key":"2025120518324166514_j_crpm-2022-0013_ref_008","unstructured":"Riaz-Ul-haq, M, Mahdi, DE, Elhassan, EU. Neonatal testicular torsion; a review article. Iran J Pediatr 2012;22:281."},{"key":"2025120518324166514_j_crpm-2022-0013_ref_009","doi-asserted-by":"crossref","unstructured":"Luscombe, CJ, Mountford, PJ, Coppinger, SM, Gadd, R. Diagnosing testicular torsion. Isotope scanning is useful. BMJ Br Med J 1996;312:70421358. https:\/\/doi.org\/10.1136\/bmj.312.7042.1358c.","DOI":"10.1136\/bmj.312.7042.1358c"},{"key":"2025120518324166514_j_crpm-2022-0013_ref_010","doi-asserted-by":"crossref","unstructured":"Zerin, JM, DiPietro, MA, Grignon, A, Shea, D. Testicular infarction in the newborn: ultrasound findings. Pediatr Radiol 1990;20:329\u201330. https:\/\/doi.org\/10.1007\/bf02013166.","DOI":"10.1007\/BF02013166"},{"key":"2025120518324166514_j_crpm-2022-0013_ref_011","doi-asserted-by":"crossref","unstructured":"Brown, SM, Casillas, VJ, Montalvo, BM, Albores-Saavedra, J. Intrauterine spermatic cord torsion in the newborn: sonographic and pathological correla-tion. Radiology 1990;177:755\u20137. https:\/\/doi.org\/10.1148\/radiology.177.3.2243983.","DOI":"10.1148\/radiology.177.3.2243983"},{"key":"2025120518324166514_j_crpm-2022-0013_ref_012","doi-asserted-by":"crossref","unstructured":"Gunther, P, Schenk, JP, Wunsch, R, Holland-Cunz, S, Kessler, U, Troger, J, et al.. Acute testicular torsion in children: the role of sonography in the diagnostic workup. Eur Radiol 2006;16:2527\u201332. https:\/\/doi.org\/10.1007\/s00330-006-0287-1.","DOI":"10.1007\/s00330-006-0287-1"},{"key":"2025120518324166514_j_crpm-2022-0013_ref_013","doi-asserted-by":"crossref","unstructured":"Olguner, M, Akg\u00fcr, FM, Aktu\u011f, T, Derebek, E. Bilateral asynchronous perinatal testicular torsion: a case report. J Pediatr Surg 2000;35:1348\u20139. https:\/\/doi.org\/10.1053\/jpsu.2000.9330.","DOI":"10.1053\/jpsu.2000.9330"}],"container-title":["Case Reports in Perinatal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.degruyterbrill.com\/document\/doi\/10.1515\/crpm-2022-0013\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyterbrill.com\/document\/doi\/10.1515\/crpm-2022-0013\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T19:05:08Z","timestamp":1764961508000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyterbrill.com\/document\/doi\/10.1515\/crpm-2022-0013\/html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,20]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,4,27]]},"published-print":{"date-parts":[[2023,1,27]]}},"alternative-id":["10.1515\/crpm-2022-0013"],"URL":"https:\/\/doi.org\/10.1515\/crpm-2022-0013","relation":{},"ISSN":["2192-8959"],"issn-type":[{"value":"2192-8959","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,20]]},"article-number":"20220013"}}