患者,男,14岁,因睾丸疼痛6h来院就诊。患者6h前在学校跑步时不慎摔倒后感睾丸持续胀痛,直腰时疼痛加剧,并有下坠感及右腹股沟放射性疼痛,伴恶心、未呕吐。查体:体温37.4℃,急性痛苦面容,弯腰缓步。阴囊外观肿胀,双睾丸肿大,睾丸附睾均有明显触痛。白细胞计数12×109／L。彩色多普勒显像(CDFI)检查证实;双睾丸增大内部回声不均,形态规则,双睾丸对比右侧睾丸内血流明显减少,睾丸周围可见少量液暗。诊断为右侧睾丸 The patient, male, 14 years old, came to the hospital due to testicular pain 6h. Patients 6h ago in school running accidentally fell after the testicular pain continued to feel pain when straight waist, and a sense of falling and right groin radiological pain, with nausea, vomiting. Physical examination: body temperature 37.4 ℃, acute pain face, bent over. Scrotal appearance swelling, double testicular enlargement, testicular epididymis obvious tenderness. White blood cell count 12 × 109 / L. Color Doppler imaging (CDFI) examination confirmed; double testicle increased internal echo uneven, morphological rules, double testicular right testis blood flow was significantly reduced, a small amount of fluid around the testis can be seen dark. Diagnosed with right testes