Affiliation:
1. Stanford University School of Medicine, Department of Emergency Medicine Residency, Palo Alto, California
Abstract
Case Presentation: A previously healthy 19-year-old man presented to the emergency department with severe, sudden onset of left testicular pain. Physical exam revealed a left high-riding, horizontally oriented testicle without cremasteric reflex. Point-of-care ultrasound was used to confirm the diagnosis of testicular torsion, as well as to guide manual detorsion, verifying return of blood flow after reduction.
Discussion: Testicular torsion is a urologic emergency in which testicular viability is time dependent. Point-of-care ultrasound can be an important and helpful tool to not only confirm suspicion but help guide adequacy of blood flow return after manual detorsion in conjunction with comprehensive ultrasound.
Publisher
Western Journal of Emergency Medicine
Subject
Emergency Nursing,Emergency Medicine
Reference5 articles.
1. Blaivas M, Batts M, Lambert M. Ultrasonographic diagnosis of testicular torsion by emergency physicians. Am J Emerg Med. 2000;18(2):198-200.
2. 2. Germann CA and Holmes JA. Selected Urologic Disorders. In: Walls R, Hockberger R, Gausche-Hill M, eds. Rosen’s Emergency Medicine: Concepts and Clinical Practice. Vol 2, 9th Ed. Elsevier; 2018:1209-1231.e2.
3. 3. Friedman N, Pancer Z, Savic R, et al. Accuracy of point-of-care ultrasound by pediatric emergency physicians for testicular torsion. J Pediatr Urol. 2019;15(6):608.e1-608.e6.
4. 4. Blaivas M, Sierzenski P, Lambert M. Emergency evaluation of patients presenting with acute scrotum using bedside ultrasonography. Acad Emerg Med. 2001;8(1):90-3.
5. 5. Lee DY, Lee SH, Yoon JA, et al. Detection of testicular torsion with preserved intratesticular flow by point of care ultrasound in the emergency department: a case report. J Emerg Med. 2022;62(4):e88-e90.