Nene Rahul V, Subramony Rachna, Macias Michael, Campbell Colleen, Aminlari Amir
Department of Emergency Medicine, University of California San Diego, CA.
POCUS J. 2021 Nov 23;6(2):70-72. doi: 10.24908/pocus.v6i2.15186. eCollection 2021.
: Testicular torsion is a surgical emergency that needs prompt diagnosis and treatment. Point-of-Care ultrasound (POCUS) can not only establish the diagnosis but also guide the Emergency Physician in evaluating the response to manual detorsion. : We describe the case of a 13-year-old male who presented with acute scrotal pain. We demonstrate how bedside ultrasound was used to make the diagnosis of testicular torsion, guide the technique for manual detorsion, and confirm adequate return of blood flow. Our case illustrates the ease with which POCUS can be used in real time to diagnose and treat organ-threatening pathology, but more importantly, it shows how real-time POCUS was used to detorse a testicle that was refractory to the standard detorsion technique. : The acute scrotum is a time-sensitive presentation and if testicular torsion is present, the diagnosis should be made as soon as possible. Many Emergency Departments do not have 24-hour coverage of ultrasound technicians, which would delay the diagnosis and treatment. Moreover, when manual detorsion is attempted, it often does not work because the testicle may need more than the standard 180 degree medial to lateral rotation. POCUS provides real-time analysis of return of blood flow and can thus guide further rotation, or opposite direction rotation, as needed.
睾丸扭转是一种需要及时诊断和治疗的外科急症。床旁超声（POCUS）不仅可以确诊，还能指导急诊医生评估手法复位的效果。：我们描述了一名13岁男性因急性阴囊疼痛就诊的病例。我们展示了床旁超声如何用于诊断睾丸扭转、指导手法复位技术以及确认血流是否充分恢复。我们的病例说明了POCUS可实时用于诊断和治疗危及器官的病变是多么容易，但更重要的是，它展示了实时POCUS如何用于扭转对标准复位技术无效的睾丸。：急性阴囊是一种对时间敏感的表现，如果存在睾丸扭转，应尽快做出诊断。许多急诊科没有超声技师24小时值班，这会延误诊断和治疗。此外，尝试手法复位时，往往不起作用，因为睾丸可能需要超过标准的从内侧到外侧180度的旋转。POCUS可对血流恢复进行实时分析，从而根据需要指导进一步旋转或反向旋转。
