Real-time Point-of-care Ultrasound for the Diagnosis and Treatment of Testicular Torsion
Background: Testicular torsion is a surgical emergency that needs prompt diagnosis and treatment. Point-of-Care ultrasound (POCUS) can not only establish the diagnosis but also guide the Emergency Physician in evaluating the response to manual detorsion. Case Report: We describe the case of a 13-ye...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
CINQUILL Medical Publishers Inc.
2021-11-01
|
| Series: | POCUS Journal |
| Subjects: | |
| Online Access: | https://ojs.library.queensu.ca/index.php/pocus/article/view/15186 |
| _version_ | 1798037091704111104 |
|---|---|
| author | Rahul V. Nene Rachna Subramony Michael Marcias Colleen Campbell Amir Aminlari |
| author_facet | Rahul V. Nene Rachna Subramony Michael Marcias Colleen Campbell Amir Aminlari |
| author_sort | Rahul V. Nene |
| collection | DOAJ |
| description |
Background: Testicular torsion is a surgical emergency that needs prompt diagnosis and treatment. Point-of-Care ultrasound (POCUS) can not only establish the diagnosis but also guide the Emergency Physician in evaluating the response to manual detorsion. Case Report: We describe the case of a 13-year-old male who presented with acute scrotal pain. We demonstrate how bedside ultrasound was used to make the diagnosis of testicular torsion, guide the technique for manual detorsion, and confirm adequate return of blood flow. Our case illustrates the ease with which POCUS can be used in real time to diagnose and treat organ-threatening pathology, but more importantly, it shows how real-time POCUS was used to detorse a testicle that was refractory to the standard detorsion technique. Conclusion: The acute scrotum is a time-sensitive presentation and if testicular torsion is present, the diagnosis should be made as soon as possible. Many Emergency Departments do not have 24-hour coverage of ultrasound technicians, which would delay the diagnosis and treatment. Moreover, when manual detorsion is attempted, it often does not work because the testicle may need more than the standard 180 degree medial to lateral rotation. POCUS provides real-time analysis of return of blood flow and can thus guide further rotation, or opposite direction rotation, as needed.
|
| first_indexed | 2024-04-11T21:21:52Z |
| format | Article |
| id | doaj.art-119acdce58e74e8a80ef54589e959845 |
| institution | Directory Open Access Journal |
| issn | 2369-8543 |
| language | English |
| last_indexed | 2024-04-11T21:21:52Z |
| publishDate | 2021-11-01 |
| publisher | CINQUILL Medical Publishers Inc. |
| record_format | Article |
| series | POCUS Journal |
| spelling | doaj.art-119acdce58e74e8a80ef54589e9598452022-12-22T04:02:36ZengCINQUILL Medical Publishers Inc.POCUS Journal2369-85432021-11-016210.24908/pocus.v6i2.15186Real-time Point-of-care Ultrasound for the Diagnosis and Treatment of Testicular TorsionRahul V. Nene0Rachna Subramony1Michael Marcias2Colleen Campbell3Amir Aminlari4Department of Emergency Medicine, University of California, San Diego, San Diego, CADepartment of Emergency Medicine, University of California, San Diego, San Diego, CADepartment of Emergency Medicine, University of California, San Diego, San Diego, CADepartment of Emergency Medicine, University of California, San Diego, San Diego, CADepartment of Emergency Medicine, University of California, San Diego, San Diego, CA Background: Testicular torsion is a surgical emergency that needs prompt diagnosis and treatment. Point-of-Care ultrasound (POCUS) can not only establish the diagnosis but also guide the Emergency Physician in evaluating the response to manual detorsion. Case Report: We describe the case of a 13-year-old male who presented with acute scrotal pain. We demonstrate how bedside ultrasound was used to make the diagnosis of testicular torsion, guide the technique for manual detorsion, and confirm adequate return of blood flow. Our case illustrates the ease with which POCUS can be used in real time to diagnose and treat organ-threatening pathology, but more importantly, it shows how real-time POCUS was used to detorse a testicle that was refractory to the standard detorsion technique. Conclusion: The acute scrotum is a time-sensitive presentation and if testicular torsion is present, the diagnosis should be made as soon as possible. Many Emergency Departments do not have 24-hour coverage of ultrasound technicians, which would delay the diagnosis and treatment. Moreover, when manual detorsion is attempted, it often does not work because the testicle may need more than the standard 180 degree medial to lateral rotation. POCUS provides real-time analysis of return of blood flow and can thus guide further rotation, or opposite direction rotation, as needed. https://ojs.library.queensu.ca/index.php/pocus/article/view/15186point-of-care ultrasoundemergency medicineacute scrotal paintesticular torsion |
| spellingShingle | Rahul V. Nene Rachna Subramony Michael Marcias Colleen Campbell Amir Aminlari Real-time Point-of-care Ultrasound for the Diagnosis and Treatment of Testicular Torsion POCUS Journal point-of-care ultrasound emergency medicine acute scrotal pain testicular torsion |
| title | Real-time Point-of-care Ultrasound for the Diagnosis and Treatment of Testicular Torsion |
| title_full | Real-time Point-of-care Ultrasound for the Diagnosis and Treatment of Testicular Torsion |
| title_fullStr | Real-time Point-of-care Ultrasound for the Diagnosis and Treatment of Testicular Torsion |
| title_full_unstemmed | Real-time Point-of-care Ultrasound for the Diagnosis and Treatment of Testicular Torsion |
| title_short | Real-time Point-of-care Ultrasound for the Diagnosis and Treatment of Testicular Torsion |
| title_sort | real time point of care ultrasound for the diagnosis and treatment of testicular torsion |
| topic | point-of-care ultrasound emergency medicine acute scrotal pain testicular torsion |
| url | https://ojs.library.queensu.ca/index.php/pocus/article/view/15186 |
| work_keys_str_mv | AT rahulvnene realtimepointofcareultrasoundforthediagnosisandtreatmentoftesticulartorsion AT rachnasubramony realtimepointofcareultrasoundforthediagnosisandtreatmentoftesticulartorsion AT michaelmarcias realtimepointofcareultrasoundforthediagnosisandtreatmentoftesticulartorsion AT colleencampbell realtimepointofcareultrasoundforthediagnosisandtreatmentoftesticulartorsion AT amiraminlari realtimepointofcareultrasoundforthediagnosisandtreatmentoftesticulartorsion |