Patient reports an episode of acute left testicular pain a month ago, with a reduction in clinical manifestations a few weeks ago.
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Left testis with horizontal orientation, with slightly reduced dimensions, with diffusely reduced echogenicity and heterogeneous echotexture, with no detectable blood flow on color Doppler. Hyperechoic left epididymis, which cannot be individualized from the spermatic cord.
After a diagnosis of late testicular torsion, the patient underwent left orchiectomy and right orchidopexy.
Contributed by Dr. Hemilianna Hadassa Silva Matozinho M.D., Dr. Rebecca Carolina Silva Lins M.D., and Dr. Arthur Ataide Lopes M.D.