This is a surgical emergency.
A high level of suspicion is needed to avoid unnecessary morbidity.
- There is sudden onset of scrotal pain in a young male.
- The diagnosis is mostly clinical.
- Testicular torsion must be differentiated from epididymochitis.
- Colour Doppler can be useful, but its absence should not delay diagnosis.
- High index of suspicion needed for this condition.
- Rapid exploration of affected side and orchidopexy for both testes.