A rare case of bilateral testicular torsion in a 57‐year‐old man
Abstract Context Testicular torsion, the twisting of the testis or spermatic cord, places the testis at risk of vascular compromise and is a surgical emergency. Testicular torsion is predominantly unilateral (98% of torsion cases) and primarily affects neonates and adolescents in a bimodal distribut...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-10-01
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| Series: | Journal of the American College of Emergency Physicians Open |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/emp2.12545 |
| _version_ | 1797835933487202304 |
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| author | Tierra Smith Christopher Lee Gross Matthew Ryan Charles W. Hwang |
| author_facet | Tierra Smith Christopher Lee Gross Matthew Ryan Charles W. Hwang |
| author_sort | Tierra Smith |
| collection | DOAJ |
| description | Abstract Context Testicular torsion, the twisting of the testis or spermatic cord, places the testis at risk of vascular compromise and is a surgical emergency. Testicular torsion is predominantly unilateral (98% of torsion cases) and primarily affects neonates and adolescents in a bimodal distribution. Bilateral testicular torsion is exceedingly rare (2% of cases) and is associated with neonates. To the authors’ best knowledge, there have been no reports of bilateral torsion in adult males over the age of 24. Case details A 57‐year‐old man presented to the emergency department 9 days after developing testicular pain while lifting his lawnmower. Ultrasonography performed at an outside facility was unremarkable. He was encouraged to followup with urology as an outpatient. Despite outpatient analgesia, he continued to experience pain and returned to the ED, where repeat ultrasonography demonstrated bilateral torsion with hypoperfusion. Discussion Although testicular torsion is uncommon, the clinician must recognize torsion; if left untreated, torsion leads to infertility. Previous publications suggest that ultrasonographic findings of bilateral testicular torsion should be attributed to “technical failure” rather than a plausible diagnosis. However, this case demonstrates the importance of maintaining a high index of suspicion, especially with an atypical age range and pathological presentation, particularly among men during their reproductive years. |
| first_indexed | 2024-04-09T15:00:32Z |
| format | Article |
| id | doaj.art-348298ef35ad4e978e86bb9d2477e2dd |
| institution | Directory Open Access Journal |
| issn | 2688-1152 |
| language | English |
| last_indexed | 2024-04-09T15:00:32Z |
| publishDate | 2021-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj.art-348298ef35ad4e978e86bb9d2477e2dd2023-05-01T17:35:54ZengWileyJournal of the American College of Emergency Physicians Open2688-11522021-10-0125n/an/a10.1002/emp2.12545A rare case of bilateral testicular torsion in a 57‐year‐old manTierra Smith0Christopher Lee Gross1Matthew Ryan2Charles W. Hwang3Department of Emergency Medicine University of Florida College of Medicine Gainesville Florida USAUniversity of Florida College of Medicine Gainesville Florida USADepartment of Emergency Medicine University of Florida College of Medicine Gainesville Florida USADepartment of Emergency Medicine University of Florida College of Medicine Gainesville Florida USAAbstract Context Testicular torsion, the twisting of the testis or spermatic cord, places the testis at risk of vascular compromise and is a surgical emergency. Testicular torsion is predominantly unilateral (98% of torsion cases) and primarily affects neonates and adolescents in a bimodal distribution. Bilateral testicular torsion is exceedingly rare (2% of cases) and is associated with neonates. To the authors’ best knowledge, there have been no reports of bilateral torsion in adult males over the age of 24. Case details A 57‐year‐old man presented to the emergency department 9 days after developing testicular pain while lifting his lawnmower. Ultrasonography performed at an outside facility was unremarkable. He was encouraged to followup with urology as an outpatient. Despite outpatient analgesia, he continued to experience pain and returned to the ED, where repeat ultrasonography demonstrated bilateral torsion with hypoperfusion. Discussion Although testicular torsion is uncommon, the clinician must recognize torsion; if left untreated, torsion leads to infertility. Previous publications suggest that ultrasonographic findings of bilateral testicular torsion should be attributed to “technical failure” rather than a plausible diagnosis. However, this case demonstrates the importance of maintaining a high index of suspicion, especially with an atypical age range and pathological presentation, particularly among men during their reproductive years.https://doi.org/10.1002/emp2.12545bilateral testicular torsiontesticular paintesticular torsion |
| spellingShingle | Tierra Smith Christopher Lee Gross Matthew Ryan Charles W. Hwang A rare case of bilateral testicular torsion in a 57‐year‐old man Journal of the American College of Emergency Physicians Open bilateral testicular torsion testicular pain testicular torsion |
| title | A rare case of bilateral testicular torsion in a 57‐year‐old man |
| title_full | A rare case of bilateral testicular torsion in a 57‐year‐old man |
| title_fullStr | A rare case of bilateral testicular torsion in a 57‐year‐old man |
| title_full_unstemmed | A rare case of bilateral testicular torsion in a 57‐year‐old man |
| title_short | A rare case of bilateral testicular torsion in a 57‐year‐old man |
| title_sort | rare case of bilateral testicular torsion in a 57 year old man |
| topic | bilateral testicular torsion testicular pain testicular torsion |
| url | https://doi.org/10.1002/emp2.12545 |
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