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BMJ Case Reports 2012; doi:10.1136/bcr-2012-006742
  • Unusual presentation of more common disease/injury

A novel false-positive cause in testis scintigraphy in the diagnosis of testis torsion

  1. Tansel Ansal Balci3
  1. 1Department of Nuclear Medicine, Fırat University Hospital, Elazig, Turkey
  2. 2Department of Urology, Fırat University Hospital, Elazig, Turkey
  3. 3Department of Nuclear Medicine, Damla Hospital, Elazig, Turkey
  1. Correspondence to Dr Zehra Pinar Koç, zehrapinarkoc{at}gmail.com

Summary

Testis scintigraphy is the most reliable modality in the diagnosis of testis torsion since it directly reflects the vascularity of the testis. The ‘rim sign’ is considered as the pathognomonic sign of the missed torsion. However, there are some possible false-positive cases. In this case report, we would like to present an unexpected false-positive cause of the ‘rim sign’ in testis scintigraphy in an 18-year-old male patient.

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