Right hemiscrotal pain and swelling - 3 to 4 days.
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Right testis is odematous without internal flow. There is twisted intra-scrotal spermatic cord.
Left testis shows normal size, echopattern and vascularity.
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.