Testicular torsion

Case contributed by Maulik S Patel

Presentation

Pain in left inguinal region for three days. Left testicular swelling for two days.

Patient Data

Age: 20 years
Gender: Male
ultrasound

Left testis: enlarged and edematous (22 ml volume); no focal lesion and no flow. Left spermatic cord: twisting is noted in left hemiscrotum.

Right testis: 10 ml volume, normal. Right spermatic cord: normal.

No hydrocele on either side.

Case Discussion

There is a primary sign of torsion: twisting of spermatic cord.

There are secondary signs of torsion: edematous testis, absent flow.

Radionuclide scan was positive for torsion (not uploaded, no copyright).

Surgery confirmed torsion.

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