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Synchronous bilateral testicular torsion in an adult.

Testicular torsion, or more appropriately spermatic cord torsion, is a common clinical concern in the acute scrotum. However, bilateral synchronous torsion is a rare entity. In the patient with an acute scrotum, the presence of bilateral torsion may be overlooked once an abnormal side is identified. Only a handful of cases affecting adults have been reported in the medical literature, 1,2 This report describes a patient who had lower abdominal pain and unilateral scrotal pain. Preoperatively, bilateral testicular sonographic abnormalities were identified. This patient had surgically confirmed bilateral torsion.