Incomplete testicular torsion

Incomplete testicular torsion of the left testicle in a 11 year old boy with a reactive hydrocele and a moderately swollen testicle and normal vascularization of epididymis and testicle compared to the right side. Not operated in this stage because of dim

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Incomplete testicular torsion of the left testicle in a 11 year old boy with a reactive hydrocele and a moderately swollen testicle and normal vascularization of epididymis and testicle compared to the right side. Not operated in this stage because of diminished pain.

Moderately swollen left testicle

Vascularization of epididymis

Incomplete testicular torsion of the left testicle with a reactive hydrocele and a moderately swollen testicle and normal vascularization of epididymis and testicle compared to the right side. Not operated in this stage because of diminished pain.

Vascularization of the right testicle

Normal vascularization of the left testicle

Normal doppler spectrum

Normal vascularization of the left testicle

The same patient after 2 days with progressive pain and a swollen left testicle a progressive hydocele and a diminished flow in the testicle and epididymis with a high resistance flow pattern compared to the right side. At operation an incomplete testicular torsion was confirmed.

Swollen left testicle and hydocele

Swollen left epididymis and testicle

Flow in the left epididymis

The same patient after 2 days with progressive pain and a swollen left testicle a progressive hydocele and a diminished flow in the testicle and epididymis with a high resistance flow pattern compared to the right side. At operation an incomplete testicular torsion was confirmed.

Tortuous aspect of the vessels with a high resistance flow pattern

High resistance flow pattern in the left testicle

Normal flow pattern in the right testicle

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Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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