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Background <p>Testicular torsion is a time-sensitive urological emergency characterized by twisting of the spermatic cord, leading to ischaemia and, if untreated, necrosis. Young males under 25 are at the highest risk due to congenital defects like the Bell Clapper deformity. Prompt diagnosis and management are crucial.</p> Case presentation <p>A 30-year-old male presented with severe right testicular pain, and point-of-care ultrasound (POCUS) in the Emergency Department confirmed torsion within a few minutes upon arrival to Emergency Department. Manual detorsion restored blood flow, confirmed by bedside Doppler imaging using POCUS within 15&#xa0;min of arrival. The patient underwent successful bilateral orchidopexy.</p> Conclusion <p>This case emphasizes the importance of early targeted emergency POCUS in recognizing and managing testicular torsion, ensuring optimal outcomes.</p>

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Rapid testicular salvage in the emergency department using point of care ultrasound [POCUS]

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年4月17日

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  • Khaled Taha,
  • Adrian Bonachera,
  • Nicholas Hegarty,
  • Edel Tivnan,
  • Etimbuk Umana,
  • Dimitris Smith Diakidis,
  • Jawad Mustafa,
  • Tomás Breslin,
  • Bassem Alhadi,
  • Erin Devlin

摘要

Background

Testicular torsion is a time-sensitive urological emergency characterized by twisting of the spermatic cord, leading to ischaemia and, if untreated, necrosis. Young males under 25 are at the highest risk due to congenital defects like the Bell Clapper deformity. Prompt diagnosis and management are crucial.

Case presentation

A 30-year-old male presented with severe right testicular pain, and point-of-care ultrasound (POCUS) in the Emergency Department confirmed torsion within a few minutes upon arrival to Emergency Department. Manual detorsion restored blood flow, confirmed by bedside Doppler imaging using POCUS within 15 min of arrival. The patient underwent successful bilateral orchidopexy.

Conclusion

This case emphasizes the importance of early targeted emergency POCUS in recognizing and managing testicular torsion, ensuring optimal outcomes.