Testicular torsion and infarction

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

Acute onset, non-traumatic origin of right hemiscrotal pain. 3 days in duration. One day of right hemiscrotal edema. No pain on day of ultrasound

Patient Data

Age: about 15 yrs
ultrasound

Right testis is mildly enlarged, diffusely hypoechoic with heterogeneous echopatten without vascularity. Left testis shows normal echopattern and vascularity.

Case Discussion

Ultrasound findings suggested right testicular torsion and infarction. Surgical exploration revealed so called 'black' testis. Orchiectomy was performed.

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