Testicular torsion: neonatal, delayed
Enlarged left testis at birth. Ultrasound performed at age 2 weeks.
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The left testis is smaller than the right, with no internal vascularity. It has a rim of peripheral calcification. Right testis has normal appearance and vascularity, no calcification. Incidentally, there is a right hydrocele.
2 case question available
This case demonstrates established testicular infarction in a neonate with calcification of the tunica albuginea. In retrospect, the history of left testicular enlargement at birth suggests an acute perinatal torsion with a delayed diagnosis.
Compare this case with a case of testicular torsion diagnosed at birth. Despite markedly different appearances, the affected testis was non-viable at surgery in both cases.