Testicular trosion

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Painful right testis for 1 day.

Patient Data

Age: 20 years
Gender: Male

Scrotum

ultrasound

The right testis is diffusely hypoechoic with heterogeneous texture and no intratesticular vascularity noted. Twisted spermatic cord at scrotal neck which is enlarged and shows whirlpool appearance consistent with a twist. Minimal reactive turbid hydrocele is noted. 

Normal sonographic features of the left testis with normal intratesticular blood flow.

Case Discussion

Features of complete right testicular torsion with whirlpool sign of the spermatic cord at scrotal neck.

Case courtesy, Dr. Mohamed Gohar, MS

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