Testicular torsion and infarction

Case contributed by Maulik S Patel , 14 Apr 2024
Diagnosis certain
Changed by Mohamed Saber, 14 Apr 2024
Disclosures - updated 17 Apr 2023: Nothing to disclose

Updates to Study Attributes

Findings was changed:

The Left testis measures about (32 x 21 x 18 mm - 7.9 cc) with an ill-defined hypoechoic area along the rete testis. No focal lesion. Thickened left epididymis. No vascularity in the testis or the epididymis. No hydrocele. The short-axis cine-loops of the intrascrotal spermatic cord show twisting.

Atrophic right testis (10 x 8 x 5 mm - 0.27 cc) with diffuse hypoechoic echopattern. No testicular focal lesion/ vascularity. No hydrocele.

Annotation 'Left testis' (on Image 1 (Ultrasound (Multiple planes)), frame 9) is not linked from the findings

Updates to Case Attributes

Body was changed:

A patient presented with more than seventy-two hours of left hemiscrotal pain and swelling without a history of fever or trauma. The ultrasound confirmed the clinical diagnosis of testicular torsion. Additionally, the left testis appears to be infarcted on ultrasound; which was expected due to the duration of symptoms. GrayGrey-scale cine-loop shows a whirlpool sign of testicular torsion which is a primary or a direct sign of the torsion. Testicular findings are secondary signs.

Unfortunately, the right testis is atrophic. The patient could not recollect a previous episode of right hemiscrotal pain.

Emergency surgical exploration revealed left testicular torsion with infarction. There were three complete turns of the left spermatic cord. A left orchidectomy was done.

Surgical details and photos courtesy: operating surgeon Dr. Niraj patel and anesthetistanaesthetist Dr. Shailesh Thoria.

  • -<p>A patient presented with more than seventy-two hours of left hemiscrotal pain and swelling without a history of fever or trauma. The ultrasound confirmed the clinical diagnosis of testicular torsion. Additionally, the left testis appears to be infarcted on ultrasound; which was expected due to the duration of symptoms. Gray-scale cine-loop shows a <a href="/articles/whirlpool-sign-testicular-torsion" title="Whirlpool sign (testicular torsion)">whirlpool sign of testicular torsion</a> which is a primary or a direct sign of the torsion. Testicular findings are secondary signs.</p><p>Unfortunately, the right testis is atrophic. The patient could not recollect a previous episode of right hemiscrotal pain.</p><p>Emergency surgical exploration revealed left testicular torsion with infarction. There were three complete turns of the left spermatic cord. A left orchidectomy was done.</p><p><em>Surgical details and photos courtesy: operating surgeon Dr. Niraj patel and anesthetist Dr. Shailesh Thoria.</em></p>
  • +<p>A patient presented with more than seventy-two hours of left hemiscrotal pain and swelling without a history of fever or trauma. The ultrasound confirmed the clinical diagnosis of testicular torsion. Additionally, the left testis appears to be infarcted on ultrasound; which was expected due to the duration of symptoms. Grey-scale cine-loop shows a <a href="/articles/whirlpool-sign-testicular-torsion" title="Whirlpool sign (testicular torsion)">whirlpool sign of testicular torsion</a> which is a primary or a direct sign of the torsion. Testicular findings are secondary signs.</p><p>Unfortunately, the right testis is atrophic. The patient could not recollect a previous episode of right hemiscrotal pain.</p><p>Emergency surgical exploration revealed left testicular torsion with infarction. There were three complete turns of the left spermatic cord. A left orchidectomy was done.</p><p><em>Surgical details and photos courtesy: operating surgeon Dr. Niraj patel and anaesthetist Dr. Shailesh Thoria.</em></p>

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