Acute onset of scrotal pain on the right side that started a few hours before the ultrasound examination. At the time of the examination the pain had already diminished a bit, but was still present
All patients were operated and the diagnosis testicular torsion was confirmed. At the time of operation the testis in these patients was already discolored. The testis was detordated and recovered quickly in all cases. In cases of an incomplete testicular torsion the symptoms can change according to the amount of torsion. Flow can be detected and does not exclude a torsion. A spiral aspect of the pertesticular vessels or a peritesticular knot is always highly suspicious for a torsion. Also look for other signs like swelling and changes in the doppler signal