Testicular torsion

Case contributed by Dr Bruno Di Muzio

Presentation

Left testicle acute pain for about 3 hours.

Patient Data

Age: 20-year-old

US Testes

Modality: Ultrasound

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 Dec 2016
System: Urogenital
Tag: rmh
Inclusion in quiz mode: Included

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