Dirk Schaper, V. Hofmann (Halle/S.)  

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14 Years  

Male  

Pelvis-Testis  

physical  

14 year-old boy with acute right-sided stomach ache, beginning about 2 hours before admission, initally acute vomiting, careful gait.
Right testicular elevation, great pain on pressure of the right testicle and spermatic cord.  

N/A  

<- view Ultrasound 1

Ultrasound 1: Knotty, echogenic, partly decreased echogenic structure above the testicles (twisting-sign), Representation of the upper pole of the testicles with concurrent hydrocele.




<- view Ultrasound 2

Ultrasound 2: Color doppler sonography of the twisted spermatic cord, abrupt halt of vascularisation shown.




<- view Ultrasound 3

Ultrasound 3: Postoperative hyperperfusion of the spermatic cord and testicles.




<- view OP-Situs 1

OP-Situs 1: Intraoperatives picture of a intravaginal testicular torsion without infarction.

 

Surgery / Histo  

N/A  

Emergency surgery, presumptive diagnosis of testicular torsion was confirmed, re-torsion, no infarction. Reperfusion -> testicular preservation, orchiopexy.  

Depiction of an additional ultrasound sighn in an acute scrotum.  

N/A  

1. Medline:
Baud C, Veyrac C, Couture A, Ferran JL.
Spiral twist of the spermatic cord: a reliable sign of testikular torsion
Pediatr Radiol (1998)28:950-954  

Testicular torsion, twisting-sign, intravaginal testicular torsion, intravaginal, testicular torsion, acute abdominal pain, vomiting, testicular elevation, child, childhood, pediatric radiology  

Dirk Schaper, V Hofmann. Intravaginal testicular torsion. PedRad [serial online] vol 3, no. 2.
URL: www.PedRad.info/?search=20030228165156