Correa Chad, Onishi So, Abrams Eric
Kaiser Permanente San Diego, Department of Emergency Medicine, San Diego, California.
Clin Pract Cases Emerg Med. 2021 Feb;5(1):82-84. doi: 10.5811/cpcem.2020.12.48944.
Emergency department physicians should incorporate point-of-care-ultrasound (POCUS) in the assessment of patients presenting with acute scrotal pain for rapid identification of the time sensitive urologic emergency, testicular torsion.
A 20-year-old otherwise healthy male, with a history of monorchism, presented to the emergency department with vague testicular pain. A POCUS was performed, which demonstrated attenuated arterial flow of the patient's single testicle as well as twisting ("whirlpool sign") of the spermatic cord, both highly specific ultrasonographic findings of testicular torsion.
These findings expedited definitive management resulting in the salvage of the single ischemic testicle.
急诊科医生应在评估急性阴囊疼痛患者时采用床旁超声（POCUS），以便快速识别具有时间敏感性的泌尿外科急症——睾丸扭转。
一名20岁、无其他健康问题且有单睾症病史的男性因睾丸隐痛就诊于急诊科。进行了床旁超声检查，结果显示患者单侧睾丸的动脉血流减弱以及精索扭转（“漩涡征”），这两者都是睾丸扭转高度特异的超声表现。
这些检查结果加快了确定性治疗，从而挽救了这枚缺血的单侧睾丸。
