Emergency Department Approach to Testicular Torsion: Two Illustrative Cases

Division

North Florida

Hospital

Osceola Regional Medical Center

Document Type

Case Report

Publication Date

10-22-2019

Keywords

TWIST score, testicular torsion, acute testicular pain, acute scrotal pain

Disciplines

Diagnosis | Emergency Medicine | Male Urogenital Diseases | Medicine and Health Sciences

Abstract

We present two cases of young men with spontaneous nontraumatic testicular pain. While the differential diagnosis for scrotal or testicular pain can include less urgent causes, such as epididymitis, hydrocele, referred pain, idiopathic scrotal edema, and inguinal hernia, for example, the most feared etiology for acute scrotal pain is testicular torsion. The fact that a testicle can torse and detorse is also a confounding factor. In this case review, we explore factors affecting the timely diagnosis, management, and outcomes of acute testicular pain. Prompt diagnosis is imperative in order to salvage a torsed testicle.

Publisher or Conference

Cureus

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