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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
HBKU Press
2016
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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. |
format | Online Article Text |
id | pubmed-5200847 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | HBKU Press |
record_format | MEDLINE/PubMed |
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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