Testicular torsion and infarction

Case contributed by Kehinde Lawal , 23 Dec 2023

Diagnosis almost certain

Changed by Karen Machang'a, 28 Dec 2023

Disclosures - updated 19 Aug 2023: Nothing to disclose

Updates to Case Attributes

Status changed from pending review to published (public).

Published At was set to 2023-12-28T06:06:03.611Z.

Diagnostic Certainty changed from 4 to 3.

Edit Without Moderation was set to false.

Presentation was changed:

Left scrotal pain of 1 day duration.

References changed:

1. Ota K, Fukui K, Oba K et al. The Role of Ultrasound Imaging in Adult Patients with Testicular Torsion: A Systematic Review and Meta-Analysis. J Med Ultrasonics. 2019;46(3):325-34. <a href="https://doi.org/10.1007/s10396-019-00937-3">doi:10.1007/s10396-019-00937-3</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/30847624">Pubmed</a>
Ota K, Fukui K, Oba K et al. The Role of Ultrasound Imaging in Adult Patients with Testicular Torsion: A Systematic Review and Meta-Analysis. J Med Ultrasonics. 2019;46(3):325-34. <a href="https://doi.org/10.1007/s10396-019-00937-3">doi:10.1007/s10396-019-00937-3</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/30847624">Pubmed</a>

Findings was changed:

Heterogeneous left testicular parenchyma with absent flow as compared to normal right testis.

Whirlpool sign demonstrated in the left spermatic cord.

The right testis has normal sonographic features and doesn't have a clapper bell appearance(not shown).

Images Changes:

Annotation 8752 changed from ,0 arrows,0 labels to NOT linked from the study findings - Whirlpool sign,1 arrow,1 label.