Ipsilateral thigh hyperperfusion during acute testicular torsion: An incidental finding related to vascular reflex

A 16-year-old boy was referred with a painful, red, and swollen left scrotum. The pain had begun 4 hours before admission. Tc-99m pertechnetate testicular scintigraphy showed a hypoactive area in the left side of the scrotum, suggesting left testicular torsion. In addition, increased perfusion was observed in the ipsilateral thigh. Hyperperfusion of the left thigh disappeared after the operation, as evidenced by repeat scintigraphic examination. It is suggested that the hyperperfusion was related to testicular torsion, probably by reflex prodromic impulse through the genitofemoral nerve. It should be noted that such vascular reflexes may be observed in the early phase of testicular torsion

A new ancient irrigation therapy for childhood renal candidiasis

Methylene blue (MB) alone, MB metabolites in the urine and the effect of MB plus alkalization on Candida species were determined. MB was used for the treatment of childhood renal candidiasis (CRC) in 3 patients as an irrigating solution. Besides irrigation, fluconazole 3 mg/kg/day intravenously and MB 0.2 mg/kg/day were administered perorally. Urine cultures were cleared of Candida. DMSA scans obtained after 6 months showed no evidence of scarring. MB can be used for irrigation of the urinary tract, with fewer side effects than amphotericin B (AB). Additionally we advocate the use of ureteral catheters instead of nephrostomy in the treatment of CRC