Presentation
Acute pain in the left testis. Initially declined medical input. Left testis is now swollen, but not painful.
Patient Data
Age: 20 years
Gender: Male
From the case:
Torsed testis
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The left testis is larger than the right. Heterogenous testis. No Doppler flow.
The left epididymis is thickened.
The orientation of the testis and epididymis is abnormal. No Doppler flow.
Normal right hemiscrotum.
Case Discussion
The ultrasonographic appearances are in keeping with a torsed and now infarcted testis.
An orchiectomy was performed and the histology confirmed an infarcted testis secondary to torsion.
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