TESTIS - Torsion

The specimen is an enlarged, haemorrhagic testis with enlarged haemorrhagic epididymus, showing an epididymal cyst some 3 cm. across. Spermatic cord congested.
A 62-year-old man presenting with swollen and painful testis; degree of swelling and pain was such that provisional diagnosis of epididymo-orchitis was made. He failed to respond to antibiotics and scrotum was explored, with removal of infarcted testis and epididymus.