Asynchronous Bilateral Intravaginal Testicular Torsion in a 17-year-old Boy
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Abstract
Asynchronous testicular torsion refers to testicular torsion occurring at different times on each side (i.e., torsion of one testis followed later by torsion of the contralateral testis), rather than both testes twisting simultaneously. A 17-year-old boy was referred to the Clinic twice as an emergency. The first time was due to torsion of the left testicle. After a physical examination and echo Doppler, the patient underwent urgent surgery, and a right testicle detorsion was performed, with the testicle being saved. We did not fix the left testicle. The second time, two months later, he came to our clinic because of torsion of the right testicle. We operated patient urgently without a preoperative Doppler. The second testicle was also operated on in time.
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Osumah TS, Jimbo M, Granberg CF, Gargollo PC. Frontiers in pediatric testicular torsion: An integrated review of prevailing trends and management outcomes. J Pediatr Urol. 2018;14(5):394-401. Available from: https://pubmed.ncbi.nlm.nih.gov/30087037/ DOI: https://doi.org/10.1016/j.jpurol.2018.07.002
Taghavi K, Dumble C, Hutson JM, Mushtaq I, Mirjalili SA. The bell-clapper deformity of the testis: The definitive pathological anatomy. J Pediatr Surg. 2021;56(8):1405-1410. Available from: https://doi.org/10.1016/j.jpedsurg.2020.06.023 DOI: https://doi.org/10.1016/j.jpedsurg.2020.06.023
Shukla AR, Snyder HM. Disorders of the testes and scrotum. In: Kavoussi LR, Partin AW, Peters CA, editors. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia: Elsevier; 2020.
Alexander CE, Warren H, Light A, Agarwal R, Asif A, Chow BJ, et al. Ultrasound for the diagnosis of testicular torsion: A systematic review and meta-analysis of diagnostic accuracy. Eur Urol Focus. 2025;S2405-4569(25)00104-X. Available from: https://doi.org/10.1016/j.euf.2025.04.026 DOI: https://doi.org/10.1016/j.euf.2025.04.026
Granger J, Brownlee EM, Cundy TP, Goh DW. Bilateral perinatal testicular torsion: Successful salvage supports emergency surgery. BMJ Case Rep. 2016;2016:bcr2016216020. Available from: https://doi.org/10.1136/bcr-2016-216020 DOI: https://doi.org/10.1136/bcr-2016-216020
Yerkes EB, Robertson FM, Gitlin J, Kaefer M, Cain MP, Rink RC. Management of perinatal torsion: Today, tomorrow, or never? J Urol. 2005;174(4 Pt 2):1579-1582. Available from: https://doi.org/10.1097/01.ju.0000179542.05953.11 DOI: https://doi.org/10.1097/01.ju.0000179542.05953.11
Pakmanesh H, Alinejad M. A case of bilateral perinatal testicular torsion that presented with unilateral torsion; necessity of contralateral testis exploration. Turk J Urol. 2018;44(6):511-514. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC6179741/ DOI: https://doi.org/10.5152/tud.2018.26790
Elliott SD, Hynes HE. Doppler ultrasound failure in testicular torsion. Br J Urol. 1984;56(6):647-649. PMID:6391304. Available from: https://pubmed.ncbi.nlm.nih.gov/6391304/