title: Testicular torsion in adults: plea for its consideration early in clinical evaluation of acute scrotum.
abstract: A case of a thirty-eight-year-old man with acute scrotum is presented. Past history of transient episodes of testicular pain, negative findings on urinalysis, and lack of symptomatic relief despite antibiotic therapy plus a high index of suspicion helped establish the correct diagnosis of testicular torsion. A long delay between onset of symptoms and surgical exploration resulted in testicular infarction. A plea is made to consider torsion of the testis even in the adult with scrotal pain when all of the classic clinical criteria of epididymitis are not present.
mesh_terms: D000208:Acute Disease; D000328:Adult; D005832:Genital Diseases, Male / Q000175:diagnosis; D006801:Humans; D007238:Infarction / Q000209:etiology; D008297:Male; D012611:Scrotum; D013086:Spermatic Cord Torsion / Q000175:diagnosis* / Q000601:surgery; D013737:Testis / Q000098:blood supply; D013997:Time Factors