Authors: Jude Okoye/ Editor: Steve Corry-Bass, Sandi Angus / Codes: SLO1, SLO5, UP4/ Published: 26/05/2022
A 14-year-old boy is brought to the ED by his parents at 2am complaining of a pain “down below”.
The pain started suddenly – around midnight, his parents had given him some paracetamol, but he vomited after taking it. He thinks he remembers crashing into an opponent during a football game two days ago. He had been ok until last night. He denied any history of sexual activity or penile discharge.
He is comfortable but tender on examination.
9 responses
Case study of testicular torsion highlighting the importance of early surgical referral to optimise outcome.
early surgical input is the key to save the testis
also demonstrating a phren sign can be of help as well.
Good case – essential to recognise the red flags for testicular torsion
A very good case. The key point being that urgent surgical exploration is both diagnostic and therapeutic.
Excellent recap.
very important case
Remember, testicular salvage rates are 90% to 100% if surgical exploration is performed within six hours of symptom onset.
Learned something new-phren sign, thank you