Rare case of a patient with testicular torsion complicated by acute pneumonia, requiring emergency surgery, during the COVID‐19 pandemic

Abstract

Introduction The COVID‐19 pandemic has been causing delay in patient arrival at hospital and starting surgery. We report a delay in a case of testicular torsion complicated by acute pneumonia during the COVID‐19 pandemic in Japan. Case presentation A 17‐year‐old Japanese boy presented to our emergency room with acute left scrotum pain and fever in January 2021. It took 2.5 h to transfer him. Physical examination and color Doppler ultrasonography revealed left testicular torsion. Chest computed tomography indicated acute pneumonia. He successfully underwent surgical detorsion 7.5 h after symptom onset, with COVID‐19 preventive measures in place. A negative polymerase chain reaction test result for COVID‐19 was revealed after surgery. Conclusion We experienced a rare case of testicular torsion complicated by acute pneumonia during the COVID‐19 pandemic. Special attention should be paid to preventing infection and surgery delay to avoid testicular loss.

Keywords

• acute pneumonia
• COVID‐19
• emergency surgery
• surgical delay
• testicular torsion