Cocaine abuse that presents with acute scrotal pain and mimics testicular torsion

Cocaine abuse that presents with acute scrotal pain and mimics testicular torsion

Report case (s) relevant aspects: Man, 27 years old, complaining of acute testicular pain by 2 hours in the remaining left testicle. Denies fever, lower urinary tract symptoms such as dysuria, urinary frequency, concommitant or prior urethral discharge to the painful condition. He underwent right orchiectomy 13 years ago by testicular torsion. He is a chronic user of cocaine for 15 years and du...

Testicular ultrasound in acute scrotal pain - beyond testicular torsion

Scrotal Exploration for Testicular Torsion and Testicular Appendage Torsion: Emergency and Reality

BACKGROUND Scrotal exploration is considered the procedure of choice for acute scrotum. OBJECTIVES We evaluated the importance of early diagnosis and testicular salvage on the therapeutic outcomes of patients with pediatric testicular torsion (TT) and testicular appendage torsion (TAT) in our geographic area. PATIENTS AND METHODS We performed a retrospective database analysis of patients wh...

An Unusual Cause of Scrotal Pain in a 77 Year Old: Testicular Torsion!

We present the case of a 77 year old man who presented with acute onset of left scrotal pain and swelling, interpreted as epididymo-orchitis, and treated twice, within four days with different antibiotics. On the third presentation an urgent Doppler ultrasound scan confirmed absent testicular blood flow on the affected side. Emergency scrotal exploration revealed a torted left spermatic cord, a...

Acute Aortic Syndrome Presents with Chest Pain

Acute aortic syndrome can be due to acute aortic dissection, intramural hematoma, penetrating atherosclerotic ulcer, or unstable thoracic aneurysm. These life-threatening conditions are clinically indistinguishable, often presenting with acute chest pain. Contrast-enhanced, cardiac-gated multidetector computed tomography (CT) is a highly accurate imaging method for determining the cause of acut...