19-Year-Old with Sudden Onset Left Testicular Pain. Clinical practice and cases in emergency medicine Small, E., Ashenburg, N., Schertzer, K. 2022; 6 (4): 327-329

Abstract

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.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.

View details for DOI 10.5811/cpcem.2022.7.56747

View details for PubMedID 36427024