TESTICULAR TORSION INDUCED BY EPIDIDYMO-ORCHITIS: A RARE CASE REPORT

Objective: We report a case of an episode of acute scrotum within 4 days. To our knowledge, this is a rare case of epididymo-orchitis predisposing to testicular torsion. This paper has been reported in line with the SCARE 2023 criteria. Case(s) Presentation: This case involves a 17-year-old male with worsening scrotal pain and swelling following minor trauma, accompanied by intermittent fever. Physical examination revealed left testicular enlargement and tenderness, with a negative Prehn’s test. Doppler ultrasound indicated decreased blood flow and a whirlpool sign, suggesting torsion. Discussion: Emergency scrotal exploration confirmed a 180-degree spermatic cord torsion with partial testicular necrosis, necessitating orchiectomy and orchidopexy. The patient had a smooth recovery. Conclusion: Testicular torsion requires prompt diagnosis and intervention for optimal outcomes. Keywords: Testicular torsion, epididymo-orchitis, case report.

Authors

Publication Details

Journal
Indonesian Journal of Urology
Published
2026-01-09
DOI
https://doi.org/10.32421/juri.v33i1.1132
Primary Topic
Testicular diseases and treatments
Type
article
Field-Weighted Citation Impact
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article

TESTICULAR TORSION INDUCED BY EPIDIDYMO-ORCHITIS: A RARE CASE REPORT

Nafis Audrey Febriansyah, Fikri Rizaldi, Wahjoe Djatisoesanto
Indonesian Journal of Urology
Testicular diseases and treatments
article

TESTICULAR TORSION INDUCED BY EPIDIDYMO-ORCHITIS: A RARE CASE REPORT

Nafis Audrey Febriansyah, Fikri Rizaldi, Wahjoe Djatisoesanto
article en

Abstract

Objective: We report a case of an episode of acute scrotum within 4 days. To our knowledge, this is a rare case of epididymo-orchitis predisposing to testicular torsion. This paper has been reported in line with the SCARE 2023 criteria. Case(s) Presentation: This case involves a 17-year-old male with worsening scrotal pain and swelling following minor trauma, accompanied by intermittent fever. Physical examination revealed left testicular enlargement and tenderness, with a negative Prehn’s test. Doppler ultrasound indicated decreased blood flow and a whirlpool sign, suggesting torsion. Discussion: Emergency scrotal exploration confirmed a 180-degree spermatic cord torsion with partial testicular necrosis, necessitating orchiectomy and orchidopexy. The patient had a smooth recovery. Conclusion: Testicular torsion requires prompt diagnosis and intervention for optimal outcomes. Keywords: Testicular torsion, epididymo-orchitis, case report.

Indonesian Journal of UrologyVol. 33(1)
Good health and well-being
Openalex Percentile: Top 94%
Testicular diseases and treatments
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