EC Paediatrics

Testicular torsion is a urological emergency caused by spermatic cord twisting, leading to ischemia and potential testicular loss. We report the case of an 8-year-old boy with mild scrotal swelling and moderate pain but no typical signs of torsion. His TWIST score was 3, indicating an intermediate risk. Ultrasound with color Doppler revealed the "turn of the spire" sign, a highly specific finding confirming torsion despite preserved vascularization. Emergency surgery successfully salvaged the testicle. This case highlights the importance of recognizing subtle sonographic signs for early diagnosis and timely intervention.

 Keywords: Testicle; Emergency; Torsion; Ultrasonography; Turn of Spire

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