Presentation
Left testis acute pain for about 3 hours.
Patient Data
Testes are normal in size and echotexture, without focal lesion. Normal color Doppler flows pattern seen with the right testis. No vascular flow in the left testis.
Epididymides: the right one is normal in size and echotexture, without focal lesion. On the left, it appears to be retracted and twisted forming a heterogeneous avascular mass, which measures approximately 37 x 17 x 21 mm (volume ~7.2 mL).
Small hydrocele on the left with fine floating echoes.
Conclusion: Features are consistent with left testis complete torsion.
Case Discussion
This case illustrates an acute testicular torsion characterized on ultrasound by a twisted spermatic cord and epididymis with complete flow absence in the left testis.