Question
Identify the deformity of the scrotum as seen in the picture below ?
A. Bell clapper deformity.
B. Testicular hydrocoele.
C. Testicular hematoma.
D. Testicular torsion.
Show Answer
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Correct Answer » A
Explanation
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The deformity of the scrotum as seen in the picture above represents Bell clapper deformity.
Failure of normal posterior anchoring of the gubernaculum, epididymis and testis is called a bell clapper deformity because it leaves the testis free to swing and rotate within the tunica vaginalis of the scrotum much like the gong (clapper) inside of a bell.
Twisting of the testis on the axis of the spermatic cord is called spermatic cord torsion. The twisting causes edema of the spermatic cord resulting in obstruction of the lymphatic, then venous and finally arterial vessels to the testis.
When the arterial supply is impaired, testicular ischemia results. If a boy has had pain and swelling for 8 hours due to spermatic cord torsion, there is a 50% chance that the testis will be lost.
