Torsion of undescended abdominal testicle in a 16-year-old and its management. Issue 1 (29th January 2020)

• Record Type: Journal Article
• Authors: Malik, Muhamamd Isfandyar Khan; Abbas, Joshua; Sabri, Shariq; Michael, George; Ellenbogen, Simon
• Is Part Of: BMJ case reports. Volume 13:Issue 1(2020)
• Publication Date: 2020-01-29
• Subjects: urological surgery -- general surgery; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2019-232179
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : A 16-year-old boy attended the Emergency Department with sudden severe right iliac fossa pain and associated vomiting. He denied any urinary symptoms, diarrhoea or testicular pain. On examination, he had a locally tender right iliac fossa with guarding. External genitalia and testicular examination revealed an absent right testicle, the left testicle was not tender. The patient was haemodynamically stable. A clinical diagnosis of acute appendicitis and possible testicular torsion was made and the patient sent for an urgent diagnostic laparoscopy. At laparoscopy, the patient was found to have a torted, non-viable right-sided testicle in the abdominal cavity. On discussion with urology, a decision was made to excise the torted testicle as it was atrophic and had significant malignant potential. The appendix was normal. The patient made an unremarkable recovery and was discharged.