Abstract
C ray-scale and color Doppler sonography have proven useful in examining patients with acute scrotal pain and swelling [1, 2]. In this clinical setting, characterization of testicular blood flow enables more confident discrimination between those patients requiring urgent surgical treatment (testicular torsion) and those best treated noninvasively (e.g., epididymo-orchitis). Definitive diagnosis is more problematic when torsion is intermittent or incomplete. We present a case of partiab torsion of the spermatic cord in which a normal color Doppler flow pattern was observed in the testes; the hemodynamic changes associated with torsion were evident only on Doppler spectral analysis. In addition, this case is unusual in that there was direct visualization of the twisted spermatic cord and its accompanying vessels.
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