MOJ
eISSN: 2374-6939
Submit manuscript...
Case Report Volume 18 Issue 3
Case report: testicular ischemia secondary to missed epididymal torsion: a diagnostic pitfall
Shehzad Khan, Tariq Alam, Zia ur Rahman, Dr. Anab Hayat, Wajid Ali, Dr. Sohail khan
Received: May 22, 2026 | Published: July 9, 2026
Citation: Khan S, Alam T, Rahman Z, et al. Case report: testicular ischemia secondary to missed epididymal torsion: a diagnostic pitfall. MOJ Orthop Rheumatol. 2026;18(3):120-121. DOI: 10.15406/mojor.2026.18.00750
Abstract
Epididymal torsion is a critical surgical emergency where salvage rates are highly time dependent. We present the case of a 15-year-old male with acute scrotal pain, initially misdiagnosed as epididymitis at a private facility. Subsequent evaluation at Saidu Group of Teaching Hospital using Color Doppler Ultrasound (CDU) revealed the pathognomonic “whirlpool sign” and total absence of testicular perfusion. Despite surgical intervention, the delay resulted in testicular gangrene requiring orchidectomy. This case emphasizes the clinical necessity of recognizing specific sonographic markers to differentiate mechanical torsion from inflammatory conditions.
Keywords: ultrasound, epididymis, doppler, testis, ischemia
©2026 Khan, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.
Citations
Media Partner & Supporters
