Dynamic Use Of Point-of-Care Ultrasound In Identifying And Treating Testicular Torsion In The Emergency Department: Successful Detorsion Using POCUS Following Initial Failed Attempt
Sunday, April 7, 2024
2:26pm – 2:33pm
Location: 412
Authors: Daniel Kreider, Wellspan York Hospital
Testicular torsion is a common cause of acute scrotal disease and prevalent in the pediatric male population. Appropriate management requires rapid triage, diagnosis, and intervention. Healthcare providers must understand history and physical exam findings, ultrasonography criteria for diagnosis, and detorsion techniques. We present a case of failed emergency department detorsion that was salvaged using a novel approach incorporating point-of-care ultrasound. Providers can more confidently manage acute scrotal disease by incorporating point-of-care ultrasound into the evaluation of acute scrotal disease and testicular detorsion technique. It is important to avoid the pitfalls of a false negative examination by reviewing how to accurately diagnose torsion with ultrasonography. Duration and degree of testicular torsion directly correlate to subsequent testicular viability. In cases of testicular torsion, ‘time is testicle’, and a solid knowledge base in the ultrasonographic evaluation of acute scrotal disease can make a difference in testicular viability.