Generative Artificial Intelligence as a First Responder in Adolescent Testicular Torsion: A Case Report

Testicular torsion is a time-critical urological emergency in which every hour of delay erodes the chance of testicular salvage. Adolescents frequently delay presentation because of embarrassment, denial, and parental "watch-and-wait" behavior. We report the case of a 15-year-old boy who developed sudden, recurrent testicular pain while alone at home and, instead of waiting, queried ChatGPT for advice. The chatbot unambiguously directed him to seek urgent medical help. He presented to the emergency department within approximately two hours, underwent emergency scrotal exploration with successful detorsion and orchidopexy, and the testis was salvaged. This case illustrates an unexpected and emerging role of generative artificial intelligence as an accessible, 24/7 lay counsellor in time-critical surgical emergencies.