14-year-old boy:
– Actue pain left hemiscrotum
What is the most likely diagnosis?
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Acute torsion testis
– Less/no vascularisation – flow with color Doppler-affected testicle
– Lower echogenicity or heterogeneous aspect testicle, if too late already hypoechoic infarcts
– Testicle displaced cranially in the scrotum
– Twisted spermatic cord “like a knot”
– Reactive hydrocele
Below you can see images from a companion case: