case_images: PMC10728354_01
case_images: Ultrasound at birth showing large fluid accumulation around a normal right testis.
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case_images: fig1
case_images: Initial ultrasonography revealed normal-sized testes with no epididymal abnormalities but significant fluid accumulation in the scrotal sac, suggesting bilateral hydroceles: 25.1 ml on the right side and 22.8 ml on the left (Figure 1).
case_images: PMC10728354_02
case_images: Inflamed and discoloured scrotal sac observed on routine 3-week follow-up visit.
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case_images: fig2
case_images: At the 3-week circumcision visit, the physician examined the patient once more and noted a blueish yellow discolouration of the scrotal sac, with an enlarged and hard right testis (Figure 2).
case_images: Coloured Doppler ultrasonography showing reduced vascularity in the right testis and increased size.
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case_images: fig3
case_images: Ultrasonography at the visit revealed that the right testis had enlarged slightly to measure 0.80 x 0.88 x 1.15 cm (volume 0.43 ml), with a heterogeneous parenchyma echo texture indicating a change in the tissue's structure (Figure 3).
case_images: PMC10728354_03
case_images: Brown discoloured right testis discovered during the detorsion of the testes and the bilateral orchiopexy procedure.
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case_images: fig4
case_images: During the operation, it was noted that the right testis was brownish in colour (Figure 4).
case_images: Yellow secretions from the right scrotal sac, suggestive of inflammation and necrosis following torsion of the right testis.
case_images: CRIS2023-9979543.005.jpg
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case_images: fig5
case_images: Consequently, necrotic tissue and yellowish secretions were observed in the right scrotum (Figure 5), and the patient was taken for a right orchiectomy in surgery (Figure 6).
case_images: Orchiectomy of the right testis due to a lack of vascularity and necrosis secondary to torsion.
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case_images: fig6
case_images: Consequently, necrotic tissue and yellowish secretions were observed in the right scrotum (Figure 5), and the patient was taken for a right orchiectomy in surgery (Figure 6).
case_images: Microphotographs from the necrosed right testis: (a) medium power view (20x) of chronic granulation tissue with old haemorrhage, (b, c) low power (10x) image showing intravascular calcification, and (d) complete infarction of tissue without viable testicular parenchyma.
case_images: CRIS2023-9979543.007.jpg
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case_images: fig7
case_images: The necrotic remnant of the right testis was then sent for histopathological examination, which showed infarcted vascular spaces with luminal calcifications (Figure 7).