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Torsion of an undescended testis located in the inguinal canal
Andrew P Weiss1, Jon Van Heukelom
1Department of Emergency Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA.
Background:
Torsion 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.
Objectives:
We present this case to increase awareness among emergency physicians regarding torsion of undescended testis.
Case Report:
A 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.
Conclusions:
In 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.
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