- Bell-clapper deformity, with abnormal attachment of testicle to tunica vaginalis, enabling testicle and cord to twist more easily
- Twisting leads to ischemia and infarct (if not fixed)
- Males < 6m and 10-20yo are at greatest risk
- Though can occur at any age
- Male w/acute, severe, unilateral pain in the scrotum
- May have had prior episodes
- Very painful, sometimes swollen testicle
- Sometimes overlying skin is inflamed/indurated
- Sometimes testis lies higher in the scrotum than typical
- Sometimes testis is in a more horizontal orientation than normal