Abstract

A 6-week-old male infant with congenital bilateral hydroceles presented with a reddish, painful, and swollen left scrotum of 2 days' duration. There were no signs of inguinal hernia or fever. A flashlight test revealed transillumination of a right hydrocele and opacity of the left scrotum. Ultrasonography revealed a 1.0-cm3 testis on the right side and a 1.45-cm3 testis on the left with associated scrotal edema. Doppler studies revealed obstruction of blood flow to the left testicle. These findings confirmed the diagnosis of left-sided testicular torsion. Surgical exploration revealed the left testicle to be necrotic; unilateral orchidectomy was performed. The infant . . .

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