Testicular torsion

Case contributed by Maulik S Patel


Right hemiscrotal pain and swelling for about 4 days.

Patient Data

Age: 15 years
Gender: Male

Edematous right testis without internal flow. Twisted intra-scrotal right spermatic cord.

Normal left testis with vascularity.

Case Discussion

Ultrasound shows a primary sign of torsion (twisted spermatic cord) and the secondary signs of torsion (edematous, infarcted testis).

Surgery (within 2 hrs) confirmed the presence of both primary and secondary signs of torsion. There were two complete turns of cord. Testis was not viable.

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