Sudden onset of right sided severe scrotal pain.
Selected sonographic images of both testes
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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.
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.