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Testicular torsion is a condition characterized by the twisting of the testis and spermatic cord within the scrotum, resulting in the obstruction of venous return and subsequent swelling. If left untreated, the torsion can progress to block the arterial blood supply, leading to ischemia. Prolonged ischemia can result in testicular necrosis and decreased fertility. Recognizing the urgency of this condition, timely diagnosis and management are crucial. In this clinical case, a 16-year-old male presented with left-sided scrotal pain following a minor trauma. Despite prompt medical attention, the delay in seeking treatment resulted in irreversible testicular necrosis. The case emphasizes the urgency of diagnosing and managing testicular torsion to prevent serious consequences such as testicular loss and reduced fertility. It serves as a poignant reminder for healthcare professionals to remain vigilant in recognizing this urological emergency and advocating for timely intervention to optimize patient outcomes.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10468147 | PMC |
http://dx.doi.org/10.7759/cureus.42754 | DOI Listing |
Urology
September 2025
Division of Urology, UNM School of Medicine, Department of Surgery, MSC10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001, United States. Electronic address:
Objective: To evaluate whether pediatric urology fellowship training affects testicular salvage rates.
Methods: A retrospective chart review was conducted for pediatric patients diagnosed with acute testicular torsion between January 2017 and January 2022. Data including age, transfer status, imaging, transportation mode, symptom duration, and surgical outcomes were analyzed.
Cureus
August 2025
Department of Urology, Dammam Medical Complex, Dammam, SAU.
Testicular torsion is a urological emergency that occurs when the spermatic cord twists, cutting off blood supply to the testicle, and it requires immediate surgical intervention to prevent irreversible damage. Although it typically presents with sudden, severe scrotal pain and swelling, atypical presentations can complicate diagnosis and delay treatment. We report the case of a 25-year-old male who presented to the emergency department with a sudden onset of left lower abdominal pain and left inguinal swelling.
View Article and Find Full Text PDFJ Pediatr Surg
September 2025
Department of Pediatric Surgery, Amiens University Hospital, D408, F-80054 Amiens cedex 1, France; PériTox Laboratory (UMR-I 01), University Health Research Center, Faculty of Medicine, Jules Verne University of Picardy, D408, F-80054 Amiens cedex 1, France. Electronic address:
Introduction: No rapid test to diagnose testicular torsion (TT) exists. The usefulness of trans-scrotal near-infrared spectroscopy (NIRS) remains to be proven in children. Here, we measured testicular oxygenation (StO%) in children with unilateral TT and compared values to those measured in children with another cause of testicular pain and in control subjects.
View Article and Find Full Text PDFAnn Emerg Med
September 2025
Section of Pediatric Emergency Medicine, University of Colorado School of Medicine, Aurora, CO; Children's Hospital Colorado, Aurora, CO.
Study Objective: To evaluate the proportion of emergency departments (EDs) with sufficient volumes to measure pediatric misdiagnosis reliably.
Methods: We conducted a cross-sectional study of a nationally representative 20% sample of US EDs within the 2022 Nationwide Emergency Department Sample. We counted the number of child visits (less than 18 years old) at each ED for each of 24 serious pediatric emergency conditions and each ED's total across all conditions.
Pediatr Int
September 2025
Subcommittee on Diagnostic Errors in Pediatric Outpatient Acute Care, Committee on Pediatric Emergency and Intensive Care, Japanese Pediatric Society, Tokyo, Japan.
Background: Diagnostic errors are harmful and occur at unacceptably high rates. However, data regarding diagnostic errors in pediatric populations, particularly in acute outpatient care settings, remain insufficient. This study aimed to investigate the frequency of diagnostic errors, contributing factors, common symptoms, initial diagnoses, and final diagnoses in pediatric outpatient acute care in Japan and clarify the challenges that should be prioritized for preventing such errors.
View Article and Find Full Text PDF