Methamphetamine use can mimic testicular torsion

Michael H. Doherty, Eugenio O Gerscovich, Michael T Corwin, Stephen R. Wilkendorf

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

We report the case of a patient presenting with the classic clinical appearance of testicular torsion. Ultrasound showed testicular ischemia supporting the clinical diagnosis, but the lack of visualization of spermatic cord torsion was of concern. An attempt of clinical detorsion was considered unsuccessful and the patient was explored. No torsion was found. On postoperative review of the patient's medical history, we found methamphetamine use, with a positive urine test at the time of his emergent consultation for the scrotal pain episode. The use of amphetamines has been previously reported as the cause of ischemia of multiple organs, but we could not find previous reports of involvement of the testis mimicking torsion.

Original languageEnglish (US)
Pages (from-to)461-463
Number of pages3
JournalJournal of Clinical Ultrasound
Volume41
Issue number7
DOIs
StatePublished - Sep 2013

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Keywords

  • Amphetamines
  • Scrotum
  • Sonography
  • Testis
  • Torsion

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Medicine(all)

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