DOI: 10.38053/acmj.1948901 ISSN: 2718-0115

Diagnostic value of immature granulocytes in the differential diagnosis of testicular torsion and epididymo-orchitis in acute scrotum

Burak Yılmaz, Ercan Yuvanç
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Aims: This study aimed to evaluate the discriminatory performance of immature granulocyte (IG) count in differentiating testicular torsion from epididymo-orchitis.Methods: In this retrospective observational study, 27 patients with testicular torsion, 65 patients with epididymo-orchitis and 90 control group who presented with acute scrotal pain between May 2023 and December 2025 were included. White blood cell (WBC) count, neutrophil-to-lymphocyte ratio (NLR), C-reactive protein (CRP), immature granulocyte count (IG) and IG percentage (IG%) were evaluated in all participants. The diagnostic performance of these parameters was assessed using receiver operating characteristic (ROC) curve analysis and independent predictors were determined by multivariable logistic regression analysis.Results: WBC, NLR, CRP, IG and IG% levels were significantly higher in the epididymo-orchitis group compared to both the testicular torsion and control groups (all p

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