Torsion of Undescended Testis

A 22-year-old man with a history of uncorrected left cryptorchidism presented after 7 days of left groin pain. A genitourinary examination was performed, which revealed that his left inguinal region was swollen because of a palpable, tender mass. A 22-year-old man with a history of uncorrected left...

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Bibliographic Details
Published inThe New England journal of medicine Vol. 366; no. 17; p. 1625
Main Authors Hajji, Fouad, Janane, Abdellatif
Format Journal Article
LanguageEnglish
Published Waltham, MA Massachusetts Medical Society 26.04.2012
Subjects
Biological and medical sciences
Case reports
Cryptorchidism
General aspects
Gynecology. Andrology. Obstetrics
Male genital diseases
Medical sciences
Non tumoral diseases
Pain
Reproductive system
Teaching hospitals
Medicine
Malformation
Cryptorchidism
Congenital disease
Male genital diseases
Torsion
Testicular diseases
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Summary:A 22-year-old man with a history of uncorrected left cryptorchidism presented after 7 days of left groin pain. A genitourinary examination was performed, which revealed that his left inguinal region was swollen because of a palpable, tender mass. A 22-year-old man with a history of uncorrected left cryptorchidism presented after 7 days of left groin pain. A genitourinary examination was performed, which revealed that his left inguinal region was swollen because of a palpable, tender mass that was 5 cm in greatest dimension. No testicle was palpable in the ipsilateral hemiscrotum (Panel A). An ultrasound examination of the inguinal area revealed a heterogeneous testicle, with no blood flow on Doppler examination. Surgical exploration confirmed torsion of the undescended testis (Panel B). Torsion of a cryptorchid testicle is an uncommon condition but is reported to occur more frequently than . . .
ISSN:0028-4793
1533-4406
DOI:10.1056/NEJMicm1111776