A rare case of simultaneous bilateral testicular torsion in inguinal canal: A case report
DOI:
https://doi.org/10.46831/jpas.v1i2.73Keywords:
Cryptorchidism, testicular torsion, orchiectomy, orchiopexy, inflammationAbstract
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.
Downloads
Metrics
References
Ian E. Testis and scrotum. In: Williams NS, O’Connell PR, McCaskie AW (eds). Bailey & Love’s Short practice of surgery (Vol 2). 27th ed. Boca Raton, FL: CRC Press; 2018. pp 1497-1501.
Cohen S, Gans W, Slaughenhoupt B. Acute scrotum: American Urological Association Guidelines. 2016. Available from: https://www.auanet.org/education/auauniversity/for-medical-students/medical-students-curriculum/medical-student-curriculum/acute-scrotum. Updated May 18, 2021. Accessed on May 24, 2021.
Baglaj M, Carachi R. Neonatal bilateral testicular torsion: a plea for emergency exploration. J Urol. 2007; 177 (6): 2296-2299.
Osada Y, Tanada T, Ishikawa N. Simultaneous bilateral testicular torsion in the adolescent. Urol Int. 1985; 40 (3):179-180.
Wasnick RJ, Steigman E, Macchia RJ. Simultaneous bilateral torsion of the testes in a man. J Urol. 1981; 125 (3): 427- 428.
Williamson RCN. Torsion of the testis and allied conditions. Br J Surg.1976; 63 (6):465-476.
Lyon RP. Torsion of the testicle in childhood; a painless emergency requiring contralateral orchiopexy. JAMA. 1961; 178: 702-705.
Tryfonas G, Violaki A, Tsikopoulos G, Avtzoglou P, Zioutis J, Limas C, et al. Late postoperative results in males treated for testicular torsion during childhood. J Pediatr Surg. 1994; 29(4): 553-556.
Wright JE. Torsion of the testis. Br J Surg.1977; 64 (4): 274-276.
Martin AD, Rushton HG. The prevalence of bell clapper anomaly in the solitary testis in cases of prior perinatal torsion. J Urol. 2014; 191(5 Suppl): 1573-1577.

Published
How to Cite
Issue
Section
License
Copyright (c) 2021 dilip kumar pal, ASHUTOSH KUMAR TIWARI, SUNIRMAL CHOUDHURY

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.