POCUS in Differentiating Etiology of Acute Scrotum

Point of care ultrasound (POCUS) is a helpful tool for supporting the development of a differential diagnosis for testicular and scrotal pain. It can aid in the diagnosis of critical conditions such as Fournier's Gangrene and testicular torsion. In this case, we describe a 39-year-old man who presented for testicular pain and scrotal swelling who had findings concerning for testicular and epididymal gas on POCUS. This correlated with our computed tomography (CT) findings which were consistent with emphysematous epididymo-orchitis.