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    Case of the Day
    Mesorchial testicular torsion

    Modality: Ultrasound Modality: Ultrasound Modality: OP-Situs Modality: OP-Situs

    View here all images of this case in different sizes !

    Go to the top of the page ID: 20030303174115
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     Mesorchial testicular torsion   
     Available images: There are Ultrasound images available for this case. [ Ultrasound ] There are Ultrasound images available for this case. [ OP-Situs ]   

    Dirk Schaper, V. Hofmann (Halle/S.)  

     Email Address:

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    8 Years  




    8 year-old boy with left-sided stomach ache, obvious pain on pressure in the left lower quadrant, the outer inguinal ring and spermatic cord inconspicuous, local pain on pressure of the left hemiscrotum.  

     Pathomorphology or Pathophysiology of this disease :

    Pre-existing testicular separation with transversally positioned testicles ("mature turning testicles").  

     Radiological findings:

    Ultrasound 1 <- view Ultrasound 1

    Ultrasound 1: Depiction of the testicles and epididymis of both sides as a comparison. Obvious noticeable separation of the testicles and epididymis of the left side (and concurrent transversal, enlarged left testicle). Concomitant hydrocele.

    Ultrasound 2 <- view Ultrasound 2

    Ultrasound 2: Color doppler shows vascularization in the epididymis but not in the testicle.

    OP-Situs 1 <- view OP-Situs 1

    OP-Situs 1: Mesorchial testicular torsion. Hemorrhagic infarction of the testicle by well-vasculated epididymis and spermatic cord.

    OP-Situs 2 <- view OP-Situs 2

    OP-Situs 2: Noticeable separation of testicles and epididymis, transversal testicular position.


     Diagnosis confirmation:

    Surgery / Histo  

     Which DD would be also possible with the radiological findings:

    Testicular separation without torsion.  

     Course / Prognosis / Frequency / Other :

    Emergency testicular exposition, since infarction and absent improvement after capsular insicion, left semicastratio.  

     Comments of the author about the case:


     First description / History:



    J.Waldschmidt, Hamm,B., Schier,F.
    Das akute Skrotum
    Bibliothek für Kinderchirurgie, Stuttgart: Hippokrates-Verl., 1990, S.27-48  



     Most likely etiology:


     Available images: There are Ultrasound images available for this case. [ Ultrasound ] There are Ultrasound images available for this case. [ OP-Situs ]   
    More cases from these authors: Search Dirk Schaper in Medline Dirk Schaper (43)   Search Dirk Schaper in Medline V. Hofmann (17)     

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