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.