• J Emerg Med · May 2012

    Case Reports

    Torsion of an undescended testis located in the inguinal canal.

    • Jon Van Heukelom.
    • Department of Emergency Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA.
    • J Emerg Med. 2012 May 1;42(5):538-9.

    BackgroundTorsion of undescended testis located within the inguinal canal is a rare finding in the emergency department (ED). This diagnosis can present as undifferentiated abdominal or groin pain, and a full genitourinary examination is essential to making this diagnosis.ObjectivesWe present this case to increase awareness among emergency physicians regarding torsion of undescended testis.Case ReportA 5-year-old boy presented to the ED with abdominal pain and a mass in his right groin. Physical examination and Doppler ultrasound were used to diagnose torsion of undescended testis.ConclusionsIn a patient with undescended testis, torsion must be considered as a cause of abdominal or groin pain. Full genitourinary examination is essential to making this diagnosis.Copyright © 2012 Elsevier Inc. All rights reserved.

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