Torsion of testicle is caused by twisting of spermatic cord,its make around 17% of all acute scrotum(other cause for acute scrotal pain are traumatic hematoma,testicular tumor,torsion of appendix of testis and obustructed hernia),its more common on left side. It has two peaks in life one is..neonatal age group..here twist is extravaginal and some time associated with undesended testicle, Another is in adolescent age here torsion is intravaginal ,twist of testes occur within tunica vaginalis its happened in already defected attechment of tunica vaginalis called bell clapper deformity this accounts for70% of all torsions.
By twisting of spermatic cord blood supply to testicle affected, leads to ischimia,necrosis and infarction just like myocardial infarction causing severe pain in scrotal area make it surgical emergency,impaired blood supply may result in loss of testicle. Symptom and…
