Grand Journal of Urology
E-ISSN : 2757-7163

Importance of Genital Examination: The Case of Overlooked Testicular Torsion
Kenan Yalçın1, Engin Kölükçü1, Fatih Fırat1
1Department of Urology, Tokat Gaziosmanpaşa University Faculty of Medicine, Tokat, Türkiye
DOI : 10.5505/GJU.2024.74046
Pages : 067-069
Testicular torsion is one of the most important patologies among the genitourinary emergencies. Orchiectomy may be necessary in delayed cases. Our 2-year-old patient was hospitalized in an external center for 3 days due to abdominal and groin pain, nausea and vomiting. After discharge, he was brought to our clinic because of swelling and redness of the left scrotum which was noticed by his family. Abdominal examination was unremarkable except tenderness in the groin, swelling and hyperemia of the left scrotum, and painful and edematous left testicle on palpation. Pulsating color filling and blood flow were not observed during color Doppler US of the testicle. The patient was taken to emergency surgery with a preliminary diagnosis of the torsion of the left testicle. The patient underwent left orchiectomy because of intraoperative detection of a black necrotized testicle due to referral to our urology clinic after a delay of more than 72 hours following the onset of the incident.

For a male patient applying with a stomach ache, testicular torsion should be considered as differential diagnosis and a complete physical examination, including the genital area, should be performed.

Keywords : testicular torsion, abdominal examination, child
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