Abstract
Testicular torsion occurs when the spermatic cord twists, cutting off the testicle's blood supply leading to testicular ischemia. It is either intra vaginal or extra vaginal type. A 17 years old adolescent presented with neglected left testicular torsion more than 18 hours. He had history of severe left testicular pain about 17 hours ago presented by diffuse swelling at left scrotal compartment. Scrotal ultrasonography was carried out and confirmed absent vascularity of left testis. Surgical exploration, detorsion and warm fomentations were done. Little improvement in color was noticed and bilateral orchiopexy was done. Intact good vascularity of left testis was confirmed on scrotal ultrasonography two weeks postoperatively.
Highlights
Testicular torsion is considered one of the important causes of acute scrotum condition
Immediate surgical exploration is mandatory for detorsion and either orchiopexy or orchiectomy depends upon viability of testis
Scrotal ultrasonography was carried out which revealed absent vascularity of left testis with comparable good vascularity of right testis (Figure 1)
Summary
Testicular torsion occurs when the spermatic cord twists, cutting off the testicle’s blood supply leading to testicular ischemia. It is either intra vaginal or extra vaginal type. A years old adolescent presented with neglected left testicular torsion more than hours. He had history of severe left testicular pain about 17 hours ago presented by diffuse swelling at left scrotal compartment. Scrotal ultrasonography was carried out and confirmed absent vascularity of left testis. Intact good vascularity of left testis was confirmed on scrotal ultrasonography two weeks postoperatively
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