Clinical Exposures: A retained testis and spermatic cord torsion in a boxer
Nov 01, 2007
A 13-month-old intact male boxer weighing 57.2 lb (26 kg) was presented to the Aristotle University of Thessaloniki Companion Animal Clinic for evaluation of a one-day history of vomiting. The dog's vaccination status was current.
PHYSICAL EXAMINATION AND DIAGNOSTIC TESTING
On physical examination, the dog was bright, alert, and in good body condition. The dog exhibited signs of pain on abdominal palpation, and a firm mass was detected in the caudal abdomen. The scrotum contained only one testis, which was small. Thoracic auscultation revealed a sinus rhythm and a grade III/VI murmur heard best over the pulmonic valve area. The results of a complete blood count, serum chemistry profile, and urinalysis were within reference ranges.
Based on clinical and diagnostic imaging findings, we tentatively diagnosed intestinal obstruction or intra-abdominal spermatic cord torsion. Thoracic radiographic and echocardiographic examinations were done to further evaluate the murmur and revealed no abnormalities. A physiologic murmur with no clinical significance was diagnosed.
TREATMENT AND FOLLOW-UP
Surgical exploration of the abdomen was performed on the same day as admission to confirm the diagnosis. The patient received isoflurane anesthesia, and a ventral midline celiotomy was performed.
The left testis, measuring 3 x 1.5 cm, was also removed by using a standard midline skin incision cranial to the scrotum.
The dog recovered well and was discharged from the hospital two days after surgery. Two years after surgery, the dog was reported to be in good health.