Groin (Inguinal Region)
Elevation and transverse lie of the testis is a significant finding in testicular torsion
Operative finding in testicular torsion, the testis is swollen and blackened

The testicular capsule is incised to evaluate its viability

Testicular scan is the best investigation to confirm the testicular torsion, No uptake of radionuclide at the testicular core but increased uptake around the testis

" Halo sign " with increased uptake of radionuclide around the testis but no uptake at the core suggests that the vascular supply is interrupted in a case with right testicular torsion

The spermatic cord is twisted ( arrow ) in case of testicular torsion
Twisting of the spermatic cord causes ischemia of the testis in late testicular torsion

Deep blackened testis in late testicular torsion indicates that the testis is not viable and leads to orchidectomy
Clinical unilateral testicular torsion indicates contralateral testis exploration and preventive orchidopexy is recommended
Clinical tender "blue dot sign" in torsion of the testicular appendage