Testicular torsion

Case contributed by Dr Ian Bickle

Presentation

Several hours history of left testicular pain.

Patient Data

Age: 15 years
Gender: Male
Photo

An infarcted testicle with a twisted vascular pedicle/cord.

An orchiectomy 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 theater 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 orchiectomy was undertaken - the boat had been missed.

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.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.