Testicular infarction from torsion

Case contributed by Maulik S Patel
Diagnosis certain


Acute onset, the atraumatic origin of left hemiscrotal pain for six days. No fever.

Patient Data

Age: 15 years
Gender: Male

The symptomatic left testis is edematous with the loss of normal echopattern without vascularity. Multiple small hypoechoic areas are present in it. The long axis of the intrascrotal left spermatic cord shows narrowing which is a site of twisting. There is minimal reactive fluid in the tunica vaginalis.

The right testis shows the normal size, echopattern, and vascularity.

Case Discussion

The case shows a primary sign of torsion which is the twisted spermatic cord. The secondary signs are the testicular parenchymal changes. Findings suggest testicular torsion leading to infarction.

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