Test Yourself

Case 1

HISTORY

A young man presented with right testicular pain. The pain had initially occurred two days previously. As he did not think it was "too severe" and it had settled spontaneously, he had not sought medical review. On the day of presentation, the pain recurred , which he described as "moderate".

ULTRASOUND FINDINGS

The right testicle is enlarged and hetrogenous. There is no flow seen on color Doppler within the testicle. Note the presence of color flow around the testicle, which does not exclude torsion.

DISCUSSION

The presentation in this case with "moderate" and "not too severe" pain is unusual for torsion. The patient underwent emergency exploration of the scrotum which confirmed the diagnosis of torsion but the testicle was non-viable and a right orchidectomy was performed.

SUBMITTED BY

Adrian Goudie


Right Testicle long

Right Testicle long

The testicle is diffusely hetrogenous
Right Testicle long Right Testicle trans Right Testicle, color Doppler Rt and Lt Testes, color Doppler