Introduction: Testicular torsions in elderly individuals are rare occurrences that are often managed surgically.
Case presentation: We present the first reported case of a successful manual detorsion in a 70-year-old male patient, resulting in clinical and radiological improvement.
Clinical discussion: In this case report we discuss the role of manual detorsion alone in elderly without the need for surgery.
Conclusion: Observation of our patient for 24 h post-detorsion ensured stability before discharge.
Keywords: Case report; Elderly; Manual detorsion; Orchidectomy; Testicular torsion.
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