In simple words: Twisting of the cord that supplies blood to the testicle, occurring inside the scrotum.

Intravaginal torsion of spermatic cord. This condition involves the twisting of the spermatic cord within the tunica vaginalis, which can interrupt blood flow to the testicle.

Example 1: A 15-year-old male presents to the emergency room with acute scrotal pain and swelling. Physical examination reveals a tender, elevated testicle with a horizontally lie.Doppler ultrasound shows decreased blood flow to the affected testicle.The diagnosis of intravaginal torsion of spermatic cord is made, and the patient is taken for emergency surgery., A 20-year-old male wakes up with sudden onset of left testicular pain. The pain is severe and associated with nausea. He presents to the emergency department, and examination reveals tenderness and swelling of the left testicle. Ultrasound confirms the diagnosis of intravaginal torsion.The patient undergoes detorsion surgery., A newborn male is noted to have a swollen, discolored scrotum during his initial newborn examination. Ultrasound demonstrates decreased blood flow to the affected testicle. The diagnosis of intravaginal torsion is made. The infant undergoes surgical exploration and detorsion of the spermatic cord.

Documentation should include the presenting symptoms, physical exam findings (including the lie of the testicle), results of imaging studies (such as Doppler ultrasound), surgical findings (if surgery was performed), and any post-operative complications.