Testicular torsion

Case contributed by Dr Ian Bickle


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

Patient Data

Age: 15
Gender: Male

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 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 orchidectomy was undertaken - the boat had been missed.

PlayAdd to Share

Case information

rID: 32362
Published: 29th Nov 2014
Last edited: 6th Dec 2015
Tag: torsion
Inclusion in quiz mode: Included

Updating… Please wait.

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

 Thank you for updating your details.