<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852020000200007</article-id>
<article-id pub-id-type="doi">10.48193/rmu.v80i2.591</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Signo ecográfico del remolino en torsión testicular intermitente, presentación de 2 casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Ultrasound whirlpool sign in intermittent testicular torsion: Presentation of two cases]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arroyo]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ávila-Sánchez]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuan-Baltazar]]></surname>
<given-names><![CDATA[José Yunam]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soto-Vega]]></surname>
<given-names><![CDATA[Elena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Anáhuac Puebla  ]]></institution>
<addr-line><![CDATA[ Puebla]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles de Puebla  ]]></institution>
<addr-line><![CDATA[ Puebla]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<volume>80</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852020000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852020000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852020000200007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Descripción del caso: Se presentan dos casos caracterizados por múltiples episodios de dolor muy intenso que se resolvían de manera espontánea. En ambos casos se realizó un ultrasonido testicular mientras persistía el cuadro agudo, en donde se identificó el signo del remolino junto con compromiso vascular del testículo sugerente de torsión testicular intermitente, que ameritó tratamiento quirúrgico.  Relevancia: El objetivo es señalar que la torsión testicular intermitente es un padecimiento infrecuente que se debe de sospechar en pacientes jóvenes con episodios de dolor intenso en los que se debe de insistir en el ultrasonido en el episodio para el diagnóstico.  Implicaciones clínicas: Debido al compromiso vascular en el testículo, es necesario realizar un diagnóstico oportuno que debe iniciar con una sospecha diagnóstica apoyada por las manifestaciones clínicas del paciente para proceder a la fijación testicular bilateral temprana y que el testículo no culmine en necrosis.  Conclusiones: La torsión testicular intermitente es rara y de difícil diagnóstico, por lo que encontrar el signo del remolino en el episodio agudo con prontitud en los cuadros de dolor es esencial para el diagnóstico y prevenir la pérdida de la gónada por el menosprecio del dolor de repetición.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Case description: The two cases were characterized by multiple episodes of very intense pain that resolved spontaneously. Testicular ultrasound was carried out in both cases, during an acute episode of pain. The Whirlpool sign was identified, together with vascular compromise of the testis, suggesting intermittent testicular torsion that required surgical treatment.  Relevance: The aim of our report was to describe how intermittent testicular torsion is an uncommon pathology that should be suspected in young patients presenting with episodes of intense pain. Diagnostic ultrasound should be performed during an episode of pain.  Clinical implications: Due to vascular compromise in the testis, opportune diagnosis is important. It begins with diagnostic suspicion that is supported by the patient&#8217;s clinical manifestations and proceeds to early bilateral testicular fixation, preventing necrosis of the testis.  Conclusions: Intermittent testicular torsion is rare and difficult to diagnose. Prompt identification of the whirlpool sign during an acute episode of pain is essential for making the diagnosis and preventing the loss of the testis, which could result from underestimating subsequent episodes of pain.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Testicular torsion]]></kwd>
<kwd lng="en"><![CDATA[intermittent]]></kwd>
<kwd lng="en"><![CDATA[whirlpool sign]]></kwd>
<kwd lng="es"><![CDATA[Torsión testicular]]></kwd>
<kwd lng="es"><![CDATA[intermitente]]></kwd>
<kwd lng="es"><![CDATA[signo del remolino]]></kwd>
</kwd-group>
</article-meta>
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