Testicular torsion: Case report

Testicular torsion represents a real emergency among genitourinary disorders. A delay in diagnosis may lead to orchiectomy. A six-year old male patient had abdominal pain with scrotal tenderness and swelling lasting two days. The patient attended the emergency service as his symptoms worsened. Physical examination revealed mild abdominal tenderness, left scrotal hyperemia and edema. Left testicle was also edematous and tender. Doppler ultrasonograpy demonstrated no vascular supply for the left testicle. Surgical exploration revealed a dark necrotic left testicle and no tissue vascularisation on a parenchymal incision. Therefore a left orchiectomy was performed upon the consideration of longer than two days of history. A probability of testicular torsion should be considered in the evaluation of acute abdomen for children of any age.