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Tension Hydrocele-How Point-of-care Ultrasound Helps in the Emergency Department: A Case Report
Sophia Potalivo1, Sophia Fornbacher1,2, Joey Abadilla1,2
1University of California Riverside School of Medicine, Riverside, California.
Introduction:
Tension hydrocele is a rare but serious complication that can threaten testicular viability. This case report describes how testicular point-of-care ultrasound (POCUS) enabled timely recognition of a large hydrocele compromising testicular perfusion and guided management.
Case Report:
A 57-year-old male presented to the emergency department (ED) with painful right scrotal swelling. Testicular POCUS demonstrated a large hydrocele with reduced intratesticular blood flow. A scrotal centesis performed by the emergency physician led to symptom resolution and restoration of normal flow.
Conclusion:
Testicular POCUS can rapidly identify impaired perfusion and guide scrotal centesis in the ED, a temporary yet potentially testis-saving intervention.
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