A case of torsion of the undescended testes

• Type of Material: Article
• Authors: Bolanle Akinsola, Emory University; Heather Farthing, Emory University
• Language: English
• Date: 2022-02-28
• Publisher: American College of Emergency Physicians
• Publication Version: Final Published Version
• Copyright Statement: © 2022 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1002/emp2.12666
• Title of Journal or Parent Work: JACEP
• Keywords: symptoms; ultrasonography; children; surgery; diagnosis; emergency room; pain
• Research Categories: Health Sciences, Medicine and Surgery; Health Sciences, Epidemiology; Health Sciences, Health Care Management

Abstract

Abdominal pain and vomiting are common presenting symptoms in young children, and there are a myriad of differential diagnoses ranging from benign to life-threatening. We present the case of a 20-month-old boy who came to the emergency department with abdominal pain, fever, and vomiting. Initially, he was thought to have intussusception with a necrotic lead point based on clinical signs, laboratory findings, and ultrasonography, but was taken to the operating room after air enema failed to demonstrate an intussusceptum. He was ultimately diagnosed with torsion of an undescended testicle. Few cases of torsion of the undescended testes are reported in literature.