Testicular torsion

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

Left hemiscrotal pain for one week. No fever or trauma.

Patient Data

Age: 15 years
Gender: Male
ultrasound

The left testis is diffusely hypoechoic without any mass lesions. There is no flow on the Power Doppler imaging. The left spermatic cord shows twisting.
The right testis shows a normal echopattern and vascularity.
There is no hydrocele on either side. Both hemiscrotal wall thickness is normal.

Case Discussion

An adolescent boy presented with hemiscrotal pain for one week. Ultrasound shows a hypoechoic testis without vascularity and the whirlpool sign of testicular torsion.

Surgery revealed a non-viable testis. Orchiectomy was done.

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