PDF(Pubmed)
Abstract：
Studies have demonstrated the high sensitivity and specificity of pediatric emergency department (PED) point of care ultrasound (POCUS) in the evaluation of testicular torsion. Rarely, testicular torsion may present with intact blood flow. Here, we present a case series of four children with testicular torsion confirmed intraoperatively, who had intact blood flow on POCUS. Markers of testicular torsion can include surrounding hydrocele, heterogenous echotexture, absent venous or high resistance arterial flow, or a torsed cord complex. POCUS practitioners should be familiar with these findings, and the presence of any one or more of these findings should prompt urgent urology consultation to avoid missed torsion.
摘要：
研究表明，儿科急诊科（PED）护理点超声（POCUS）在评估睾丸扭转中具有很高的敏感性和特异性。很少,睾丸扭转可能存在完整的血流。这里,我们介绍了一系列病例，包括4例睾丸扭转患儿，在POCUS上有完整的血流。睾丸扭转的标志物可包括周围鞘膜积液，异质回声结构，无静脉或高阻力动脉血流，或者扭曲的绳索复合体。POCUS从业者应该熟悉这些发现，这些发现中的任何一项或多项的存在都应提示紧急泌尿外科会诊，以避免错过扭转。
