Acute testicular pain revealing nephretic lithiasic colic: A case report with literature review

Roger Kanza Ngengo *, Cheikh Saad Bouh Khatraty, Emmanuelle Oba , Mustapha Ahsaini, Soufiane Mellas , Jalal EL Ammari, Mohamed Fadl Tazi , Mohammed Jamal EL Fassi and Moulay Hassan Farih.

Department of Urology, Hassan II University Hospital, University Sidi Mohammed Ben Abdellah, Fez, Morocco.
 
Case Study
World Journal of Advanced Research and Reviews, 2024, 21(02), 866–869
Article DOI: 10.30574/wjarr.2024.21.2.0482
 
Publication history: 
Received on 30 December 2024; revised on 07 February 2024; accepted on 10 February 2024
 
Abstract: 
Acute testicular pain is a common issue in urology. While spermatic cord torsion and orchiepididymitis are typical causes, renal colic is a rare clinical entity that can manifest as acute testicular pain. In this case report, we present the case of a young patient who experienced acute right testicular pain without radiation, accompanied by microscopic hematuria. An abdominopelvic CT scan revealed a stone in the right lumbar ureter with upstream dilation. Emergency treatment consisted of diverting urine using a JJ catheter and performing flexible ureteroscopy with remote stone extraction. This observation highlights that not all cases of acute testicular pain are due to torsion of the spermatic cord. In this report, we will review the relevant literature.
 
Keywords: 
Colic; Lithiasis; Cord; Pain.
 
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