Testicular torsion after prior orchiopexy in an older adult: diagnostic pitfalls and the importance of multipoint fixation.
Aleksandra M Golos, Ellen M Cahill, Eric Bortnick et al.
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Case in brief
A man in his 60s presented with acute scrotal pain on two occasions, having a history of bilateral orchiopexy due to prior testicular torsion. Despite previous surgeries, recurrent torsion was diagnosed. The patient underwent a repeat three-point fixation orchiopexy, which successfully salvaged the testicle.
What made this case unusual
The case illustrates recurrent testicular torsion in an older adult with a history of orchiopexy, emphasizing the potential complications of prior surgical interventions.
Diagnostic / clinical pearl
Clinicians should maintain a high index of suspicion for testicular torsion in patients with a history of orchiopexy, regardless of age.
Why it matters
This case underscores the importance of confirming multipoint fixation during orchiopexy and subsequent scrotal surgeries to prevent recurrent torsion.