Testicular torsion

Case contributed by Huda B. Gharbia
Diagnosis almost certain

Presentation

Recurrent attacks of scrotal pain, refuse hospital admission.

Patient Data

Age: 50 years
mri

Right testis is small in size, compared to left, appears hypointense signal in T2WI.

Low signal intensity of the epididymis in t2-STIR sequences.

Loss of restricted diffusion in DW/ADC sequences, no significant enhancement in t1_vibe post-contrast of right testis and right epididymis.

Relative redundant right spermatic cord in medial aspect of scrotum.

Right inguinal hernia of fat consistency content.

Case Discussion

Small, non-enhanced right testis, suggestive infarcted right testis.

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