Abstract:

 Testicular torsion is a true surgical emergency caused by twisting of the testicle on the spermatic cord leading to disruption of the vascular supply and time sensitive ischemia with or without necrosis of testicular tissue. The annual incidence is 1 in 4000 males under the age of 25 years globally, with peak presentation in adolescents between 12 to 16 years as well in the neonatal period. However, there are rare cases in which adult males present with testicular torsion and this case study explores one such instance looking at it's unique features and at the same time underscoring an important point that torsion can occur outside the bimodal peak. The case report illustrates that age distribution maybe clinically misleading and should not be relied upon for a diagnosis.

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