ArticleRadiology case reports2026
Intra-abdominal testicular torsion in an adult male: A rare mimic of appendiceal abscess on CT.
Article in Radiology case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Torsion of an intra-abdominal undescended testis is an exceptionally rare cause of acute abdomen in adults and may mimic more common conditions such as appendicitis or pelvic abscess. We present a 28-year-old man with fever and right lower quadrant pain, leukocytosis, and an empty right hemiscrotum. CT revealed a large nonenhancing hypogastric mass with a twisted pedicle, and laparotomy confirmed torsion of a necrotic intra-abdominal testis. Histopathology showed hemorrhagic necrotizing orchitis without malignancy. This case highlights the importance of considering intra-abdominal testicular torsion in adult males with acute abdomen and a nonpalpable testis, and demonstrates the diagnostic value of identifying a twisted pedicle on cross-sectional imaging to avoid delay and misdiagnosis.
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