5/3/2023 0 Comments Conax crackedThe pain was immediate, but did not necessitate removal from play. 1 We present a case of testicular rupture diagnosed by an EP using scrotal POCUS that led to expedited care and surgical intervention.Īn 18-year-old male presented to the ED with left testicular pain and swelling following blunt scrotal trauma sustained during a wrestling match. 1, 3, 4– 7 However, the use of POCUS in these patients by emergency physicians (EP) is limited to a single case series from 2001. 1 Many studies have shown scrotal US to be fast and reliable in differentiating a broad range of time-sensitive pathologies, including testicular torsion, fracture, and rupture, as well as differentiating surgical and non-surgical emergencies where delays in care may lead to poor outcomes. Thus, point-of-care ultrasound (POCUS) has increasingly been used for early investigation of the acute scrotum. 2– 4 Evaluation of these patients poses a significant challenge, as history and physical examination findings are often equivocal. The majority of traumatic injuries are blunt impacts, most commonly in adolescents and young adults. 1, 2 Etiologies of the acute scrotum include testicular torsion, infection, and trauma. Acute scrotal pain is a common complaint in the emergency department (ED).
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