The clinical syndrome of hydatid torsion. Diagnostic evaluation and therapy in 104 consecutive cases

At the department of the urology of the university hospital in Giessen we o bserved 104 hydatid torsions with acute scrotal pain between 1977 and 1998. The average age of the affected patients showed a peak in bays with 12 yea rs of age. 33.7 % of the patients underwent primary conservative treatment and 66.3 % were operated primarily. We only recommend conservative treatmen t after careful clinical evaluation and definitive detection of testicular perfusion. Scrotal ultrasound and color duplex sonografy hereby serve as de cisive tools.