Testicular torsion

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

Left hemiscrotal pain for three days. Vomiting. No trauma. No fever.

Patient Data

Age: 15 years
Gender: Male
ultrasound

Left testis: edematous, heterogeneous echopattern, no flow on color Doppler imaging.

Twist of left spermatic cord is noted.

Right testis: normal.

Case Discussion

Findings of testicular torsion and infarction, third day after onset of complaints.

Surgery a few hours later demonstrated a non-viable testis: orchiectomy performed.

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