A rare case of simultaneous bilateral testicular torsion in inguinal canal: A case report
Keywords:Cryptorchidism, testicular torsion, orchiectomy, orchiopexy, inflammation
Background: Simultaneous bilateral testicular torsion in inguinal canal is a very rare condition which mandates prompt surgical intervention.
Case Report: We report a case of an adolescent male presenting with complaint of severe pain in left inguinal region. Diagnosis of bilateral testicular torsion with bilateral undescended testes was made clinically and supported by Doppler study. This was followed by emergent surgical exploration requiring left orchiectomy and right orchiopexy.
Conclusion: A high index of suspicion is required in any patient presenting with lower abdominal or groin pain and an empty scrotum to clinch the diagnosis and act promptly in an effort to salvage the testes. We believe, irrespective of the time elapsed since the onset of symptoms, surgical intervention should be undertaken as spontaneous torsion and detorsion might be happening, enabling testicular salvage.
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