title: Spermatic cord knot: a clinical finding in patients with spermatic cord torsion.
abstract: Pertinent history taking and careful examination often taper the differentials of the acute scrotum; congruently the ability to diagnose acute spermatic cord torsion (SCT) when radiological adjuncts are not available is highly imperative. This observational study serves to present a series of 46 cases of spermatic cord torsion whereby we hypothesize the identification of a clinical knot on scrotal examination as an important clinical aid in making a decision to surgical exploration in patients with acute and subacute SCT, especially in centers where imaging resources are unavailable.
authors.affiliation: Urology Unit, Department of Surgery, Al-Amiri Hospital, Kuwait, Kuwait.
authors.forename: Abdullatif
authors.initials: A
authors.lastname: Al-Terki
authors.forename: Talal
authors.initials: T
authors.lastname: Al-Qaoud