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Tuesday, 1 October 2019

CASE 567: TESTICULAR TORSION, Dr PHAN THANH HẢI, Dr LÊ VĂN TÀI,MEDIC MEDICAL CENTER, HCMC, VIETNAM


BOY 17 YO  PAIN AT LEFT TESTIS.  EMERGENCY DIAGNOSIS IS ORCHITIS . MEDICAL TREATMENT FOR 20 DAYS  BUT STILL PAIN  AT LEFT TESTIS.


ULTRASOUND  CHECKS SCROTUM  
US1 =  AT LEFT TESTIS   SIZE 4CM  HYPOECHOIC TESTIS,  HYPERECHOIC EPIDIDYME   WITH SMALL FLUID AROUND TESTIS.


US2 =  COLOR DOPPLER NO VASCULAR SIGN IN LEFT TESTIS   BUT HIGH  VASCULARIZATION  IN TESTICULAR CORD.


US3 = CROSSED SECTION VASCULARIZATION ONLY ONE PART OF EPIDIDYME


US4 = ELASTO US OF LEFT TESTIS  BY STRAIN TECHNIC  IS  VERY HARDENING  INHOMOGENOUS IN
COMPARISON TO RIGHT TESTIS  


US5  = CDI  POOR VASCULAR SIGN IN LEFT TESTIS  


US6 =  ELASTO OF RIGHT IS  SOFT TESTIS HOMOGENEOUS  STRAIN  SCORE



CTCE  OF TESTIS  HYPOPERFUSION AT LEFT TESTIS  


ULTRASOUND  REPORT IS  TORSION OF LEFT TESTIS AVASCULAR NECROSIS  

EMERGENCY OPERATION DETECTED AND REMOVED LEFT TESTIS NECROSIS IN BLACK.

MICROSCOPIC REPORT  IS TESTIS  NECROSIS.


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