POCUS IOTW: Testicular TorsionPosted on: August 13, 2018, by : Carrie Ng
This is a 16 year old boy at UMC who had right testicular pain a few hours ago. The bedside US initially shows no flow and then he was manually detorsed. The second image shows that the patient’s right testicle subsequently had flow. As you can see, the color flow map on the left shows that it is +7.5 to -7.5 cm/s before and after the manual detorsion, indicating that the flow was not from artifact. Of note, whenever we are performing US on sensitive organs such as eyes, scrotums, fetuses, and ovaries, to remember to use the correct exam setting. In this case, it would be scrotal setting. The patient’s pain resolved after manual detorsion and he was admitted for orchiopexy.
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