Left testicle acute pain for about 3 hours.
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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.
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.