Testicular torsion

Case contributed by Mohamed Morsi
Diagnosis certain

Presentation

Left scrotal swelling and pain , suspected inguinal hernia.

Patient Data

Age: 1.5 years
Gender: Male
ultrasound

Primary ultrasound:

  • left testicle is enlarged with homogeneous texture
  • no blood flow seen in the testicle
  • swollen scrotal skin with hyperemia

Four days later:

  • heterogeneous texture of the left testicle and triangular hypoechoic areas representing necrosis
  • no parenchymal vascularity pn color doppler interrogation

Case Discussion

The features represent a neglected case of testicular torsion, confirmed surgically. 

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