Testicular hypoperfusion
Diagnosis certain
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Patient initially presented to the emergency room with acute left scrotal pain. An ultrasound was interpreted as left testicular torsion and urology. Urology was consulted recommending aand recommended a nuclear medicine testicular scan, given low likelihood of torsion in a 58 year old. The nuclear medicine testicular scan was interpreted as acute ischemic change to the left testicle.
Given low likelihood of, possible etiologies including testicular torsion in a 58 year old male, differential considerations also include entrapped inguinal hernia, embolic atherosclerotic disease and, entrapped left inguinal hernia or abdominopelvic mass impairing gonadal artery blood flow.
-<p>Patient initially presented to the emergency room with acute left scrotal pain. An ultrasound was interpreted as left testicular torsion and urology was consulted recommending a nuclear medicine testicular scan given low likelihood of torsion in a 58 year old. The nuclear medicine testicular scan was interpreted as acute ischemic change to the left testicle.</p><p>Given low likelihood of torsion in a 58 year old male, differential considerations also include entrapped inguinal hernia, embolic atherosclerotic disease and abdominopelvic mass. </p>- +<p>Patient initially presented to the emergency room with acute left scrotal pain. An ultrasound was interpreted as left testicular torsion. Urology was consulted and recommended a nuclear medicine testicular scan, given low likelihood of torsion in a 58 year old. The nuclear medicine testicular scan was interpreted as ischemic change to the left testicle, possible etiologies including testicular torsion, embolic atherosclerotic disease, entrapped left inguinal hernia or abdominopelvic mass impairing gonadal artery blood flow. </p>
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