title: [Testicular torsion with atypical symptoms: seven cases report and review of the literature].
abstract: OBJECTIVE
  To uplift the level in the early diagnosis and treatment of testicular torsion with atypical symptoms.
  
  
  METHODS
  Retrospective analysis of 7 cases testicular torsion with atypical symptoms and review of the related literature were performed.
  
  
  RESULTS
  Seven patients of testicular torsion came to the emergency department with back pain, among which 5 cases were received the detorsion successfully and 1 case underwent orchiectomy operation. The other patient given up surgery because of his family and himself refused to.
  
  
  CONCLUSIONS
  The attending doctor must firstly check the testicles when the patient complained of back pain as the first symptom, so as to avoid misdiagnosis. As soon as testicular torsion was suspected, urgent surgical exploration should be performed immediately.
authors.affiliation: Department of Emergency, Nanjing Tongren Hospital, Nanjing, Jiangsu 211100, China. doctoryang66@sina.com
authors.forename: Shi-Yu
authors.initials: SY
authors.lastname: Yang
authors.forename: Hong
authors.initials: H
authors.lastname: Xu
mesh_terms: D000293:Adolescent; D000328:Adult; D042241:Early Diagnosis; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D013086:Spermatic Cord Torsion / Q000175:diagnosis*