Case Study of Testicular Torsion: Therapeutic and Legal Considerations

Fakharian, I; Banai, M; Meydani, Z

Case Study of Testicular Torsion: Therapeutic and Legal Considerations

Authors

I Fakharian

M Banai

Z Meydani

Professor, Department of Neurosurgery, Kashan University of Medical Dr. Ismail Fakharian Sciences, Shahid Dr. Beheshti Hospital

Abstract

An 18-year-old male presented to the emergency department with flank pain that had commenced earlier that morning. The pain was localized and non-radiating, accompanied by nausea and vomiting. The patient denied experiencing fever but reported the presence of hematuria. Notably, he had not had a bowel movement since the onset of pain and indicated a family history of nephrolithiasis, specifically in his father. Upon examination, the patient's vital signs were stable, with a blood pressure of 110/80 mmHg, a pulse rate of 86 bpm, and oxygen saturation (SpO2) at 96% on room air. The abdominal examination revealed no tenderness, distension, rigidity, or guarding; however, tenderness was noted in the right paraspinal region. An abdominal ultrasound demonstrated inflammatory changes, including a slight increase in the echogenicity of the fat in the right lower quadrant (RLQ), alongside an appendix loop measuring 6 mm in diameter, consistent with the clinical and laboratory findings. The patient subsequently underwent an appendectomy on the same day, with a diagnosis of acute appendicitis.