Abdominal Pain in Teenagers: Beware of Testicular Torsion

Retrospective study of 73 pediatric testicular torsion cases found that 22% presented with abdominal pain rather than testicular pain, leading to significant diagnostic delay (36h vs 5h) and dramatically higher testicular loss rates (81% vs 4%). Clinicians should maintain high suspicion for testicular torsion in adolescent males presenting with abdominal pain.