ISCHEMIC NECROSIS OF THE TESTIS WITHOUT T ORSION OF THE SPERMATIC CORD

Two diagnoses can be contemplated in case of sudden, painful increase in the volume of a testis : torsion of the spermatic cord and acute or chiepididymitis. Two cases observed in young adults show that acute te sticular ischemia may occur without any torsion of the cord, probably due to sudden vascular occlusion. However, except in some unfrequent v ascular diseases, the etiology of such accidents in young adults in go od health is still mysterious. The loss of the involved testis is the rule. Possibilities of treatment are limited at present and render the prognosis for the testis very poor.