Testicular torsion

Case contributed by Dr. Abdalla Al-Khashmani

Presentation

Sudden onset of right sided severe scrotal pain.

Patient Data

Age: 25
Gender: Male
Ultrasound

Selected sonographic images of both testes

The right testis appears slightly swollen, with diffuse coarsened echotexture and no detectable parenchymal color flow pattern on color Doppler examination. Findings are highly suggestive of testicular torsion.

The right epididymus appears enlarged/swollen and heterogeneous in echotexture.

There is also associated mild right sided hydrocele as well.

The left testis appears unremarkable with normal parenchymal color flow pattern.

Normal left epididymis.

Case Discussion

This out-patient came with severe right scrotal pain and his request was to rule out torsion versus epididymo-orchitis. On sonographic examination, neither the color Doppler nor the power Doppler ultrasound picked up any color flow within the right testicular parenchyma, relative to normal left one.

The urosurgeon was informed immediately about the findings, and surgery (detorsion with fixation) then done after 3-4 hours and confirmed the diagnosis. 

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Case information

rID: 34248
Case created: 11th Feb 2015
Last edited: 19th Sep 2015
System: Urogenital
Inclusion in quiz mode: Included

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