Chronic Testicular Torsion- the Silent Emasculator

Testicular torsion is recognized as an acute emergency in urology, stemming from either a congenitally elongated mesorchium or excessive tunica vaginalis investment, with trauma being a rare contributing factor. This condition presents with a sudden, painful scrotal swelling. Immediate scrotal ultrasound, supplemented by a duplex scan, is crucial for accurately distinguishing between acute, intermittent, and chronic torsion. This case report presents an atypical instance of unilateral chronic testicular torsion in an adult male, leading to surgical exploration and orchidectomy as part of the management approach.