在急诊科使用床旁超声（POCUS）进行快速睾丸挽救。
Rapid testicular salvage in the emergency department using point of care ultrasound [POCUS].
作者信息
Taha Khaled, Bonachera Adrian, Hegarty Nicholas, Tivnan Edel, Umana Etimbuk, Smith Diakidis Dimitris, Mustafa Jawad, Breslin Tomás, Alhadi Bassem, Devlin Erin
机构信息
Emergency Department, Mater Misericordiae University Hospital, Dublin, Ireland.
Department of Urology, Mater Misericordiae University Hospital, Dublin, Ireland.
出版信息
Int J Emerg Med. 2025 Apr 17;18(1):80. doi: 10.1186/s12245-025-00844-0.
BACKGROUND
Testicular torsion is a time-sensitive urological emergency characterized by twisting of the spermatic cord, leading to ischaemia and, if untreated, necrosis. Young males under 25 are at the highest risk due to congenital defects like the Bell Clapper deformity. Prompt diagnosis and management are crucial.
CASE PRESENTATION
A 30-year-old male presented with severe right testicular pain, and point-of-care ultrasound (POCUS) in the Emergency Department confirmed torsion within a few minutes upon arrival to Emergency Department. Manual detorsion restored blood flow, confirmed by bedside Doppler imaging using POCUS within 15 min of arrival. The patient underwent successful bilateral orchidopexy.
CONCLUSION
This case emphasizes the importance of early targeted emergency POCUS in recognizing and managing testicular torsion, ensuring optimal outcomes.
背景
睾丸扭转是一种对时间敏感的泌尿外科急症，其特征是精索扭转，导致缺血，若不治疗则会发生坏死。25岁以下的年轻男性由于存在如钟摆畸形等先天性缺陷，风险最高。及时诊断和处理至关重要。
病例介绍
一名30岁男性因右侧睾丸剧痛就诊，急诊科的床旁超声检查（POCUS）在其抵达急诊科几分钟内就确诊了扭转。手法复位恢复了血流，在抵达后15分钟内通过床旁POCUS使用多普勒成像得到证实。该患者接受了成功的双侧睾丸固定术。
结论
本病例强调了早期针对性急诊POCUS在识别和处理睾丸扭转方面的重要性，以确保获得最佳结果。
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