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19-Year-Old with Sudden Onset Left Testicular Pain
Elan Small1, Nicholas Ashenburg1, Kimberly Schertzer1
1Stanford University School of Medicine, Department of Emergency Medicine Residency, Palo Alto, California.
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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