Testicular torsion

Case contributed by Dr Maulik S Patel

Presentation

Right hemiscrotal pain and swelling - 3 to 4 days.

Patient Data

Age: 13 years
Gender: Male
Ultrasound

Right testis is odematous without internal flow. There is twisted intra-scrotal spermatic cord.

Left testis shows normal size, echopattern and vascularity.

Case Discussion

Ultrasound shows primary sign of torsion (twisted spermatic cord) and secondary sign of torsion (oedematous, infarcted testis).

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

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Case information

rID: 49627
Case created: 28th Nov 2016
Last edited: 22nd Jul 2017
System: Urogenital
Inclusion in quiz mode: Included

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