Delayed Emergency Management of Testicular Torsion in a Rural Hospital Without Urologist: A Case Report

Background Testicular torsion is a time-sensitive urological emergency requiring prompt diagnosis and surgical intervention to prevent irreversible ischemia and testicular loss. International guidelines emphasize immediate surgical exploration in patients with high clinical suspicion rather than delaying intervention for confirmatory imaging. Delays are more common in rural hospitals due to limited resources and lack of urologists. Case Presentation A 13-year-old boy presented with sudden severe