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A 40-year-old man with testicular torsion and large bilateral spermatoceles

Testicular torsion is a rare disease that mostly involves children. Peak incidence is in infancy and in adolescence. Testicular torsion is rarely seen in men over 40 years of age and has only once been accompanied with spermatocele. We report the case of a 40-year-old man with testicular pain one da...

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Autores principales: Ameli, Mojtaba, Parsapour, Arezou, Gholami-Mahtaj, Leila
Formato: Online Artículo Texto
Lenguaje:English
Publicado: HBKU Press 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5200847/
https://www.ncbi.nlm.nih.gov/pubmed/28058232
http://dx.doi.org/10.5339/qmj.2016.10
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author Ameli, Mojtaba
Parsapour, Arezou
Gholami-Mahtaj, Leila
author_facet Ameli, Mojtaba
Parsapour, Arezou
Gholami-Mahtaj, Leila
author_sort Ameli, Mojtaba
collection PubMed
description Testicular torsion is a rare disease that mostly involves children. Peak incidence is in infancy and in adolescence. Testicular torsion is rarely seen in men over 40 years of age and has only once been accompanied with spermatocele. We report the case of a 40-year-old man with testicular pain one day prior to visiting our clinic. The patient's visit to the clinic was delayed due to history of occasional testicular pain related to his bilateral spermatoceles. On arrival, a color Doppler ultrasound test was performed, which revealed heterogeneous echo in the right testis with no vascular flow, suggestive of torsion, as well as two cystic lesions in the right and left scrotums indicating spermatoceles. The patient was immediately transferred to the operating room where the bilateral spermatoceles were resected and after detorting, the right testis was saved. After four months, a normal left testis along with partial right testicular atrophy was observed. It is highly recommended to educate patients with spermatocele who have no indication for surgical treatment to visit their physician in case any new testicular pain is experienced. Furthermore, testicular pain regardless of the co-existing pathology may always be treated as an indicator of suspected torsion.
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spelling pubmed-52008472017-01-05 A 40-year-old man with testicular torsion and large bilateral spermatoceles Ameli, Mojtaba Parsapour, Arezou Gholami-Mahtaj, Leila Qatar Med J Case Report Testicular torsion is a rare disease that mostly involves children. Peak incidence is in infancy and in adolescence. Testicular torsion is rarely seen in men over 40 years of age and has only once been accompanied with spermatocele. We report the case of a 40-year-old man with testicular pain one day prior to visiting our clinic. The patient's visit to the clinic was delayed due to history of occasional testicular pain related to his bilateral spermatoceles. On arrival, a color Doppler ultrasound test was performed, which revealed heterogeneous echo in the right testis with no vascular flow, suggestive of torsion, as well as two cystic lesions in the right and left scrotums indicating spermatoceles. The patient was immediately transferred to the operating room where the bilateral spermatoceles were resected and after detorting, the right testis was saved. After four months, a normal left testis along with partial right testicular atrophy was observed. It is highly recommended to educate patients with spermatocele who have no indication for surgical treatment to visit their physician in case any new testicular pain is experienced. Furthermore, testicular pain regardless of the co-existing pathology may always be treated as an indicator of suspected torsion. HBKU Press 2016-12-24 /pmc/articles/PMC5200847/ /pubmed/28058232 http://dx.doi.org/10.5339/qmj.2016.10 Text en © 2016 Ameli, Parsapour, Gholami-Mahtaj, licensee HBKU Press. This is an open access article distributed under the terms of the Creative Commons Attribution license CC BY 4.0, which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Ameli, Mojtaba
Parsapour, Arezou
Gholami-Mahtaj, Leila
A 40-year-old man with testicular torsion and large bilateral spermatoceles
title A 40-year-old man with testicular torsion and large bilateral spermatoceles
title_full A 40-year-old man with testicular torsion and large bilateral spermatoceles
title_fullStr A 40-year-old man with testicular torsion and large bilateral spermatoceles
title_full_unstemmed A 40-year-old man with testicular torsion and large bilateral spermatoceles
title_short A 40-year-old man with testicular torsion and large bilateral spermatoceles
title_sort 40-year-old man with testicular torsion and large bilateral spermatoceles
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5200847/
https://www.ncbi.nlm.nih.gov/pubmed/28058232
http://dx.doi.org/10.5339/qmj.2016.10
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