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

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.