Acute Abdomen Revealing an Unusual Case of Intra-Abdominal Testicular Torsion

Abstract EN

Introduction.

Intra-abdominal testicular torsion is a rare event.

We report hereby our experience of the management of a spermatic cord twist on intra-abdominal testis discovered during an acute surgical abdomen.

Case Presentation.

This was a 42-year-old patient admitted to the emergency department for abdominal pain that had been evolving for a week.

The physical examination showed tenderness and guarding in the left iliac fossa with an empty ipsilateral hemiscrotum.

Complementary examinations led to the discovery of an intra-abdominal left-lateral mass.

The laparotomy found a whitish mass with areas of infarction, which was resected.

Anatomopathological examination of the operative specimen identified it as a testis with atrophy of germ cells and necrotic areas without evidence of malignancy.

Conclusion.

Intra-abdominal testicular torsion should be considered in case of patients with an acute surgical abdomen with vacuity of one of the bursae.