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Figure 4.80. Torsion of die left testis which was present at birth. The left side felt firm and tender and there was purplish scrotal discoloration which did not cross the midline. The testicular scan may show the characteristic "bull's eye" sign of the vascular supply. With the advent of ultrasonography, the diagnosis is readily confirmed and a scan is not required. This represents a surgical emergency, but the testis usually sustains too much vascular compromise and cannot be salvaged.

Figure 4.80. Torsion of die left testis which was present at birth. The left side felt firm and tender and there was purplish scrotal discoloration which did not cross the midline. The testicular scan may show the characteristic "bull's eye" sign of the vascular supply. With the advent of ultrasonography, the diagnosis is readily confirmed and a scan is not required. This represents a surgical emergency, but the testis usually sustains too much vascular compromise and cannot be salvaged.

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