Partial testicular torsion with torsion-detorsion syndrome is a real clinical and imaging dilemma. In this case, it was easy to diagnose torsion-detorsion syndrome as the detorsion occurs luckily at the same ultrasound study that is an uncommon occurance. If not, the hyperemic status of the involved testis and epididymis is typically similar to epididymo-orchitis and the sonographic differentiation is really difficult to even impossible. Diastolic flow reverse and increased resistive index are described in the cases of partial testicular torsion, however, it may be seen also in severe cases of epididymo-orchitis due to marked swelling and edema compromising the venous flow indicating impending infarction.

This patient was subjected to elective bilateral orchidopexy