Introduction: Rotation of the testis on the spermatic cord causing interference with the blood supply is called torsion of the testis. It is an acute surgical emergency. If not operated within 6 hours, there can be irreversible damage to the testis.
1. Painful swelling of the scrotum with redness
2. Onset is sudden
3. Lower abdominal pain
4. reflex vomiting
1. Clinically scrotum is red, tender
2. Doppler of testis reveal decreased blood supply in the affected testis
Treatment: Emergency surgery with derotation of testis and orchiopexy. At the same time other testis is also fixed (orchiopexy) as chances of torsion is high in contra lateral testis.
2. Idiopathic scrotal edema