[Seminoma necrosis by testicular torsion]

The coincidence of a classical scrotal testicular torsion with a scrotal tumor is a rare event. In the case described here the classical histological characteristics of a seminoma were present in addition to clear signs of testicular torsion with fibrin-containing thrombi in the intratesticular capillaries, so that the ischemia time predicted by the pathologists correlated well with the clinical data of 7.5 h for the testicular torsion estimated at the time of the intervention. The intraoperative diagnosis made by the surgeon allowed a rapid response with only a semi-castration, excision of the wound edges and a highest possible amputation of the funiculus.