Testicular torsion in a 68-year-old man.

Testicular torsion is a rare, yet often underrecognized, cause of scrotal pain in adult men. Few reports have commented on testicular torsion in the geriatric population. We report a case of a 68-year-old man initially diagnosed with epididymo-orchitis, who, on surgical exploration, was found to have intravaginal testicular torsion. The diagnosis in this patient population is often delayed, leading to poor salvage rates. The use of color Doppler ultrasonography should be strongly considered if the history and physical examination is suggestive of testicular torsion, regardless of patient age.