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 observed 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 years of age. 33.7 % of the patients underwent primary conservative treatment and 66.3 % were operated primarily. We only recommend conservative treatment after careful clinical evaluation and definitive detection of testicular perfusion. Scrotal ultrasound and color duplex sonografy hereby serve as decisive tools.