A novel approach for manual de-torsion of an atypical (outward) testicular torsion with bedside Doppler ultrasonography guidance

Authors

  • Mustafa Güneş Suleyman Demirel University, Faculty of Medicine, Department of Urology
  • Mehmet Umul Suleyman Demirel University, Faculty of Medicine, Department of Urology
  • Ahmet Orhan Çelik Suleyman Demirel University, Faculty of Medicine, Department of Radiology
  • Hamit Hakan Armağan Suleyman Demirel University, Faculty of Medicine, Department of Emergency Medicine
  • Bumin Değirmenci Suleyman Demirel University, Faculty of Medicine, Department of Radiology

DOI:

https://doi.org/10.5489/cuaj.2849

Keywords:

Manual detorsion, testicular torsion, colour Doppler ultrasonography, outward torsion

Abstract

A 17-year-old boy presented with right testicular torsion to the lateral side. Torsion was diagnosed by physical examination; the colour Doppler ultrasonography (CDU) confirmed right testicular torsion with minimal peripheral hydrocele. Transverse and longitudinal examination of the spermatic cord with ultrasound and CDU revealed a counter-clockwise testicular torsion. Manual de-torsion was performed in a clockwise direction (720o) and testicular blood flow and the neutral position of the spermatic cord were confirmed by CDU. We did not encounter a residual twist of the spermatic cord upon surgical exploration. In our experience, ultrasound and CDU may predict the direction of testicular torsion and may allow appropriate management of cases prior to surgery.

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Published

2015-09-09

How to Cite

Güneş, M., Umul, M., Çelik, A. O., Armağan, H. H., & Değirmenci, B. (2015). A novel approach for manual de-torsion of an atypical (outward) testicular torsion with bedside Doppler ultrasonography guidance. Canadian Urological Association Journal, 9(9-10), E676–8. https://doi.org/10.5489/cuaj.2849

Issue

Vol. 9 No. 9-10 (2015): CUAJ September

Section

Case Report

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