Testicular extravaginal torsion

Case contributed by Dr Paul Adamoli

Presentation

At birth, the left testis shows increased volume and consistency. It was visible as a little dimple on the medial surface of the left thigh, probably as consequence of a localized ischaemia.

Patient Data

Age: Newborn
Gender: Male
Ultrasound

Ultrasound - day 2 of life

The sonographic findings at birth suggests extra-vaginal torsion in testes.

The presence of calcifications in the tunica albuginea is caused by a chronic torsion, dated average 8 weeks before the scan.

The ultrasound scan taken one month later confirms a gonadal atrophy.

Case Discussion

It is plausible that, torsion occurred at 30th week of pregnancy, just after the beginning of the descent of the testis in the inguinal canal.

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Case information

rID: 16601
Case created: 1st Feb 2012
Last edited: 6th Dec 2015
Inclusion in quiz mode: Excluded

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