19-Year-Old with Sudden Onset Left Testicular Pain

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 diag...

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Detalles Bibliográficos
Autores principales: Small, Elan, Ashenburg, Nicholas, Schertzer, Kimberly
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2022
Materias:
Images in Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9697886/
https://www.ncbi.nlm.nih.gov/pubmed/36427024
http://dx.doi.org/10.5811/cpcem.2022.7.56747
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author Small, Elan
Ashenburg, Nicholas
Schertzer, Kimberly
author_facet Small, Elan
Ashenburg, Nicholas
Schertzer, Kimberly
author_sort Small, Elan
collection PubMed
description 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.
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spelling pubmed-96978862022-11-28 19-Year-Old with Sudden Onset Left Testicular Pain Small, Elan Ashenburg, Nicholas Schertzer, Kimberly Clin Pract Cases Emerg Med Images in Emergency Medicine 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. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2022-10-24 /pmc/articles/PMC9697886/ /pubmed/36427024 http://dx.doi.org/10.5811/cpcem.2022.7.56747 Text en © 2022 Small et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/)
spellingShingle Images in Emergency Medicine
Small, Elan
Ashenburg, Nicholas
Schertzer, Kimberly
19-Year-Old with Sudden Onset Left Testicular Pain
title 19-Year-Old with Sudden Onset Left Testicular Pain
title_full 19-Year-Old with Sudden Onset Left Testicular Pain
title_fullStr 19-Year-Old with Sudden Onset Left Testicular Pain
title_full_unstemmed 19-Year-Old with Sudden Onset Left Testicular Pain
title_short 19-Year-Old with Sudden Onset Left Testicular Pain
title_sort 19-year-old with sudden onset left testicular pain
topic Images in Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9697886/
https://www.ncbi.nlm.nih.gov/pubmed/36427024
http://dx.doi.org/10.5811/cpcem.2022.7.56747
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