Testicular torsion

Case contributed by Dr Ian Bickle

Presentation

This 15 year old male presented with several hours history of left testicular pain.

Patient Data

Age: 15
Gender: Male
Modality: Photo

An infarcted testicle with a twisted vascular pedicle/cord.

An orchidectomy was necessary.

Case Discussion

Testicular torsion is a urological emergency - failure to recognize and perform a surgical exploration will result as in this case with a infarcted testicle.

Don't 'hit the sack' during on-call with a query of testicular torsion - get to theatre and save the testicle.

Ultrasound can be supportive, but it should not alone dictate the clinician's decision to explore the scrotum.

In this case an orchidectomy was undertaken - the boat had been missed.

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Case Information

rID: 32362
Case created: 24th Nov 2014
Last edited: 6th Dec 2015
Tag: torsion
Inclusion in quiz mode: Included

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