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Understanding Bell Clapper Deformity

Apr 25, 2025

Bell Clapper Deformity Summary

Overview

  • Bell Clapper Deformity is a condition related to testicular torsion.
  • It is characterized by an abnormal attachment of the tunica vaginalis to the spermatic cord, allowing the testis to rotate freely.
  • Predisposes to intravaginal torsion of the testis.

Anatomical Details

  • Defined as the complete investment of the testis, epididymis, and part of the spermatic cord by the tunica vaginalis.
  • Occurrence rate: 5-16%.
  • Bilaterality observed in 66-100% of cases.

History and Etymology

  • First described in 1932 by Muschat as similar to a clapper in a bell.

Related Terms

  • Bell clapper's deformity
  • Bell clapper deformities
  • Bellclapper deformity

Systems Affected

  • Urogenital
  • Paediatrics

References

  1. Caesar RE, Kaplan GW. Incidence study via autopsy: Urology (1994).
  2. Taghavi K, et al. Anatomical study: Journal of Pediatric Surgery (2020).
  3. Muschat M. Pathological anatomy study: Surgery, Gynecology & Obstetrics (1932).
  4. Aso C, et al. Sonography study: Radiographics (2005).

Visual Reference

  • Figures and diagrams are available for visual representation of normal anatomy and bell clapper deformity.