Emergency #20 – Flashcard

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: