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KMID : 0385920100210040513
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Journal of the Korean Society of Emergency Medicine
2010 Volume.21 No. 4 p.513 ~ p.515
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A Case of Testicular Torsion in a 57-year-Old Man
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Park Chan-Woo
Cho Jun-Hwi
Shin Myoung-Cheol
Choi Hyun-Young
Moon Joong-Bum
Chon Sung-Bin
Park Hong-Zoo
Lee Hee-Young
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Abstract
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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.
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KEYWORD
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Spermatic cord torsion, Pain, scrotum
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