Review the Learning Outcomes, Hx, PE and Labs, and begin the module with your Provisional Diagnosis. Keep hitting "Next" to move through the module.
- Articulate your relationship with the consulting diagnostic radiologists in the evaluation of a patient with testicular pain.
- Review the DDx considerations in testicular pain.
- Identify the spectrum of imaging findings in appropriate modalities for evaluating patients with testicular pain.
What is your assessment of the likely acuity for this patient?
First Imaging Study
What is the first imaging study you will order?
Pertinent Imaging Observations
Click on the links below to view images from the study, and assess these key findings as best you can.
Scrotal ultrasound with Doppler
There is reduced blood flow to a testicle
The blood flow to which testicle is reduced?
Compared to the left testicle, the right testicle is
Watch our video
Second Imaging Study
What is the next imaging study you will order?
What is your Diagnosis now that you have seen the imaging results?
Initially, you selected and we suggested acuity.
Has your concern for this patient changed?
Assessment and Plan
Please provide your assessment and plan for this patient
- Testicular torsion is most common during the neonatal period (first 30 days of life) and puberty.
- Testicular torsion is a medical emergency with irreversible damage occurring after 6-12 hours of torsion due to ischemia and possible infarction.
- Scrotum ultrasound with Doppler serves to confirm the clinical diagnosis of testicular torsion. Positive ultrasound findings include reduced blood flow to the affected testis and enlargement with or without heterogeneous echotexture.
- In a study, patients without private insurance had increased risk of undergoing an orchiectomy versus a testicle sparing salvage procedure.
- Lower socioeconomic groups experience higher rates of delay in testicular torsion treatment due to farther distance from hospitals.
That's the end of the module! Once you've reviewed the video(s), you can click here for another case challenge.
Sean Kwak, MS2 - Content Contributor
Haoyu Wang - Content Contributor
Kevin Pierre, MD - Editor
Robbie Slater, MD - Supervising Editor
Bayar Batmunh, MS - Coordinator