You made a wise choice. Spermatic cord torsion is the most common cause of the acute scrotum in males 0 - 18 years of age. At surgical exploration you find an ischemic testis with a bell-clapper deformity. You untwist the spermatic cord and the testis turns pink. After placing anchoring sutures in both testes to prevent subsequent torsion you report the findings to his mother. She is so grateful that she offers to buy you a personal computer so that you can continue your studies on LUMEN from the comfort of your own apartment.

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©David A. Hatch, M.D., 1996