Testicular necrosis is a rare presentation of epididymitis. A male patient came to the ER with progressive pain in the right scrotum, 12 hours prior to the admission. Doppler ultrasound shows no vascularity in the corresponding testicle. Surgical exploration shows testicular necrosis of the same testicle (as shown in the image) due to testicular torsion. Testicular Torsion cases are usually associated with congenital anomalies that allow extreme mobility, rotation and achieving torsion of the vascular pedicle. By: https://www.instagram.com/p/CTpySOcoxC-/?utm_medium=copy_link
I had partial torsions that reversed themselves and caused increased blood flow, which made it look like epididimytis. Until the last ER visit where it didn't reverse and the testicle had to be removed, I wish I could have seen it after the operation but alas.