Next time you are faced with a patient with acute lower abdominal and/or scrotal pain, consider the diagnosis of testicular torsion regardless of age. Understand that the duration of symptoms should not guide urgency of management and that all cases of suspected testicular torsion must be treated as a surgical emergency. Remember that the presence of a cremasteric reflex does not rule out testicular torsion and that all clinical characteristics and even Doppler ultrasound have significant limitations in making or excluding the diagnosis. Urological consultation should always be obtained in equivocal cases.
Explore This IssueACEP Now: Vol 39 – No 10 – October 2020
Special thanks to Dr. Natalie Wolpert and Dr. Yonah Krakowsky for their expert contributions to the EM Cases podcast that inspired this article.
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