Testicular infarction due to torsion

Case contributed by Dr Ammar Ashraf

Presentation

Left testicular worsening pain since the previous day

Patient Data

Age: 15 years
Gender: Male
Ultrasound

Heterogeneous echogenicity left testis with no internal vascularity at the time of examination. Unremarkable right testicle.

Heterogeneous echogenicity left testis without any internal vascularity, suggestive of testicular torsion. 

Case Discussion

Procedure: Left orchiectomy.

Diagnosis: Necrotic testicular parenchyma with extensive hemorrhage, consistent with hemorrhagic necrosis secondary to testicular torsion. Negative for malignancy.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.