Testicular torsion

Case contributed by Dr Bruno Di Muzio

Presentation

Left testicle acute pain for about 3 hours.

Patient Data

Age: 20-year-old
Ultrasound

US Testes

Testicles are normal in size and echotexture, without focal lesion. Normal colour Doppler flows pattern seen with the right testicle. No vascular flow in the left testicle.

Epidydimes: 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 (V. ~ 7.2 ml).

Small hydrocoele on the left with fine floating echoes. 

Conclusion: Features are consistent with left testicle complete torsion.

Case Discussion

This case illustrates an acute testicular torsion characterised on ultrasound by a twisted spermatic cord and epididymis with complete flow absence in the left testicle.  

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Case information

rID: 50077
Case created: 17th Dec 2016
Last edited: 30th May 2017
System: Urogenital
Tag: rmh
Inclusion in quiz mode: Included

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