Testicular Torsion with Intact Blood Flow: A Point of Care Ultrasound Case-Series
Studies have demonstrated the high sensitivity and specificity of pediatric emergency department (PED) point of care ultrasound (POCUS) in the evaluation of testicular torsion. Rarely, testicular torsion may present with intact blood flow. Here, we present a case series of four children with testic...
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| Format: | Article |
| Language: | English |
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CINQUILL Medical Publishers Inc.
2024-04-01
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| Series: | POCUS Journal |
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| Online Access: | https://ojs.library.queensu.ca/index.php/pocus/article/view/17201 |
| _version_ | 1797197109921841152 |
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| author | Eric Scheier |
| author_facet | Eric Scheier |
| author_sort | Eric Scheier |
| collection | DOAJ |
| description |
Studies have demonstrated the high sensitivity and specificity of pediatric emergency department (PED) point of care ultrasound (POCUS) in the evaluation of testicular torsion. Rarely, testicular torsion may present with intact blood flow. Here, we present a case series of four children with testicular torsion confirmed intraoperatively, who had intact blood flow on POCUS. Markers of testicular torsion can include surrounding hydrocele, heterogenous echotexture, absent venous or high resistance arterial flow, or a torsed cord complex. POCUS practitioners should be familiar with these findings, and the presence of any one or more of these findings should prompt urgent urology consultation to avoid missed torsion.
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| first_indexed | 2024-04-24T06:38:45Z |
| format | Article |
| id | doaj.art-5135f05eb04241dea32c1aa553281948 |
| institution | Directory Open Access Journal |
| issn | 2369-8543 |
| language | English |
| last_indexed | 2024-04-24T06:38:45Z |
| publishDate | 2024-04-01 |
| publisher | CINQUILL Medical Publishers Inc. |
| record_format | Article |
| series | POCUS Journal |
| spelling | doaj.art-5135f05eb04241dea32c1aa5532819482024-04-23T04:00:01ZengCINQUILL Medical Publishers Inc.POCUS Journal2369-85432024-04-019110.24908/pocus.v9i1.17201Testicular Torsion with Intact Blood Flow: A Point of Care Ultrasound Case-Series Eric Scheier0https://orcid.org/0000-0003-3250-9349Kaplan Medical Center Studies have demonstrated the high sensitivity and specificity of pediatric emergency department (PED) point of care ultrasound (POCUS) in the evaluation of testicular torsion. Rarely, testicular torsion may present with intact blood flow. Here, we present a case series of four children with testicular torsion confirmed intraoperatively, who had intact blood flow on POCUS. Markers of testicular torsion can include surrounding hydrocele, heterogenous echotexture, absent venous or high resistance arterial flow, or a torsed cord complex. POCUS practitioners should be familiar with these findings, and the presence of any one or more of these findings should prompt urgent urology consultation to avoid missed torsion. https://ojs.library.queensu.ca/index.php/pocus/article/view/17201testicular torsionpocusultrasoundpartial |
| spellingShingle | Eric Scheier Testicular Torsion with Intact Blood Flow: A Point of Care Ultrasound Case-Series POCUS Journal testicular torsion pocus ultrasound partial |
| title | Testicular Torsion with Intact Blood Flow: A Point of Care Ultrasound Case-Series |
| title_full | Testicular Torsion with Intact Blood Flow: A Point of Care Ultrasound Case-Series |
| title_fullStr | Testicular Torsion with Intact Blood Flow: A Point of Care Ultrasound Case-Series |
| title_full_unstemmed | Testicular Torsion with Intact Blood Flow: A Point of Care Ultrasound Case-Series |
| title_short | Testicular Torsion with Intact Blood Flow: A Point of Care Ultrasound Case-Series |
| title_sort | testicular torsion with intact blood flow a point of care ultrasound case series |
| topic | testicular torsion pocus ultrasound partial |
| url | https://ojs.library.queensu.ca/index.php/pocus/article/view/17201 |
| work_keys_str_mv | AT ericscheier testiculartorsionwithintactbloodflowapointofcareultrasoundcaseseries |