Testicular torsion is one of the most important patologies among the genitourinary
emergencies. Orchiectomy may be necessary in delayed cases. Our 2-year-old patient was
hospitalized in an external center for 3 days due to abdominal and groin pain, nausea and
vomiting. After discharge, he was brought to our clinic because of swelling and redness of the
left scrotum which was noticed by his family. Abdominal examination was unremarkable
except tenderness in the groin, swelling and hyperemia of the left scrotum, and painful and
edematous left testicle on palpation. Pulsating color filling and blood flow were not observed
during color Doppler US of the testicle. The patient was taken to emergency surgery with a
preliminary diagnosis of the torsion of the left testicle. The patient underwent left orchiectomy
because of intraoperative detection of a black necrotized testicle due to referral to our urology
clinic after a delay of more than 72 hours following the onset of the incident.
For a male patient applying with a stomach ache, testicular torsion should be considered as
differential diagnosis and a complete physical examination, including the genital area, should
be performed.
