Boy 18 yo 3 days
ago..onset pain at left scrotum after sport playing.
No fever but changing
of color skin of left scrotum ( foto).
Ultrasound in emergency:
US 1: avascular testis in comparison left side to right side.
US 2: very soft left
testis on elastoscan.
US 3 : left cord is cut of vascular supply to left
testis.
Blood test : WBC 12k
28 Neutro 8k25 CRP= 0.58
Clinical examination
and emergency ultrasound showed intra vaginalis torsion of left testis
Operation detected
black left testis, avascular for a
long time, then resection of left testis.
Conclusion: Torsion of testis in long time due to delayed diagnosis and testis necrosis
that must be removed the testis torsion.
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