J Korean Soc Emerg Med.  2010 Aug;21(4):513-515.

A Case of Testicular Torsion in a 57-Year-Old Man

• Park CW
• Cho JH
• Shin MC
• Choi HY
• Moon JB
• Cheon SB
• Park HJ
• Lee HY

Abstract

Emergency physicians often have to treat patients suffering from testicular pain. Testicular torsion is a critical disease which can, in the worst situation, require orchiectomy. Testicular torsion is more common among neonates and adolescents than adults, and there are very few adults reported to have testicular torsion. There are several cases of testicular torsion among adults aged 20 to 40. However, there have been almost no reports of patients with testicular torsion over the age of 50. Patients over the age of 50 have a greater possibility of a delayed diagnosis. Therefore, they also have a greater possibility of requiring an orchiectomy. In our case, 57-year-old male patient complained of testicular pain that developed during his sleep after golf practice. After exploratory surgery, he was diagnosed as having testicular torsion. In conclusion, emergency physicians should consider the possibility of testicular torsion when older adults complain of testicular pain. Also, patients who suffer from intermittent testicular pain show higher rates of developing testicular torsion.

Keyword

Spermatic cord torsion; Pain; Scrotum

MeSH Terms

Adolescent
Adult
Aged
Delayed Diagnosis
Emergencies
Golf
Humans
Infant, Newborn
Male
Middle Aged
Orchiectomy
Scrotum
Spermatic Cord Torsion
Stress, Psychological