Rapid testicular salvage in the emergency department using point of care ultrasound [POCUS]

Rapid testicular salvage in the emergency department using point of care ultrasound [POCUS]

Testicular torsion, Point-of-care ultrasound, Emergency Medicine, Manual detorsion, Urological emergency

Abstract
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 Depart-
ment. 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.
Keywords Testicular torsion, Point-of-care ultrasound, Emergency Medicine, Manual detorsion, Urological emergency

Khaled Taha1

, Adrian Bonachera2

, Nicholas Hegarty2

, Edel Tivnan1

, Etimbuk Umana1

, Dimitris Smith Diakidis1*,

Jawad Mustafa1

, Tomás Breslin1

, Bassem Alhadi1 and Erin Devlin1

https://doi.org/10.1186/s12245-025-00844-0

2025

Peri Irawan

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