TORSION OF AN UNDESCENDED TESTIS - A CASE -REPORT

The authors report an uncommon case of torsion of an inguinal undescen ded testis occurring in a 15-year-old child. He consulted seven days l ater for isolated left inguinal pain. Physical examination showed a le ft inguinal mass, and only the right testis was palpable within the sc rotum. Sonography revealed left inguinal mass with echogenic and heter ogeneous contents in keeping with undescended testis. The diagnoses of testis tumor or testis torsion were suggested. Surgical exploration r evealed a mass suggesting a testis tumor. Orchidectomy was performed. Histological examination showed that the mass corresponded to a necrot ic ischemic testis without tumor cells. In the light of this case, the authors analyse the diagnostic aspects and management of torsion of a n undescended testis.