Intermittent testicular torsion diagnosed by evaluating the rotatability of testis with ultrasonography: a case report

Abstract

Testicular torsion is a urologic emergency in acute scrotum. Rapid diagnosis and subsequent therapy are required to salvage the testicle. It is often difficult to diagnose and cure intermittent testicular torsion, because the clinical and radiographic evaluations may be normal. In the present case, we evaluated the mobility of the testis and succeeded in diagnosing intermittent testicular torsion. A man in his 20s had a 5-day history of intermittent left scrotal pain. A 180-degree counterclockwise rotation of the affected left testis was detected by probe scanning. There were no complaints of increased scrotal pain during the examination.