Testicular torsion and infarction
Right iliac fossa pain for three days. Ultrasound of abdomen and pelvis done on initial presentation was normal. Responded to conservative treatment and was symptom free two days prior. Again consulted for right hemiscrotal pain for last 24 yrs. Right hemiscrotal swelling confirmed on exam.
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Relative enlargement and hypoechogenicity of the right testicle relative to the left. No flow on color Doppler imaging. Findings are compatible with testicular torsion.
Operated after a few hours, but unfortunately, the testis was necrosed.