A 7-year-old with extravaginal torsion of an undescended testicle in the left inguinal region: The first case report from Syria.

Abstract

An undescended testicle, where a testicle fails to descend into the scrotum during development, is commonly seen in children. The incidence of this condition in individuals over one year of age is around 0.8-1%. In this case, a 7-year-old child presented with abdominal symptoms. Physical examination showed tenderness and swelling in the left inguinal area with the left testicle absent from the scrotum. A complete blood count revealed elevated white blood cell counts. Doppler ultrasound confirmed the left testicle was in the left inguinal area without blood flow, suggesting torsion. Surgery revealed extravaginal testicular torsion, and testicular gangrene, leading to orchidectomy. This case study underscores the importance of early detection and management of undescended testis to prevent serious complications. There have been very few reported cases of undescended testicle torsion in the inguinal region, and older age. Healthcare providers should be vigilant in performing thorough urogenital examinations in pediatric patients, particularly those from underserved communities.