POCUS IOTW: Testicular Torsion

Posted on: August 13, 2018, by :

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.

“The information in these cases has been changed to protect patient identity and confidentiality. The images are only provided for educational purposes and members agree not to download them, share them, or otherwise use them for any other purpose.”

Carrie Ng

Pediatric Emergency Medicine Attending at Children's National Health System
Carrie was born in San Francisco, but grew up between Hong Kong and Los Angeles. Although she loves the sun, she was excited to move away from home to Philadelphia for medical school, where she explored a new city, learned to appreciate all four seasons, and met her Canadian husband. She then moved to New York City and completed her Pediatrics residency at NYU and PEM fellowship at Columbia. During this time, Carrie developed a passion for bedside ultrasound and decided to join the CNMC faculty while pursuing an Emergency Ultrasound fellowship. In her spare time, Carrie loves traveling, listening to podcasts, and playing board games.

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