Global testicular infarction

Case contributed by Yaïr Glick
Diagnosis certain

Presentation

Had been suffering from severe scrotal pain for past three days.

Patient Data

Age: 15 years
ultrasound

Left testis is swollen and heterogeneous, showing no vascular flow.
Right testis is of normal dimensions and echotexture, showing normal vascular flow.

Case Discussion

A case of long-standing (i.e. days, not hours) testicular torsion where the testis could not be salvaged. The patient underwent left radical orchiectomy, where a blackened testis was removed and the spermatic cord was seen to be torsed to 360 degrees.

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