Diagnosis and treatment children with acute scrotal pain. Twenty years single centre experience.

This review details the evaluation and management of the acute scrotum in the emergency department setting and emergent penile complaints in adults, with an emphasis on the most serious and most common conditions. Other emergent conditions include necrotizing fasciitis of the perineum (Fournier disease), incarcerated or strangulated inguinal hernia, and genitourinary (GU) trauma. Emergency practitioners need to be most concerned with the entities that, if left untreated, can result in ischemia and necrosis of the penis. Basic anatomy and bedside evaluation are reviewed. Acute scrotal and penile pain and GU trauma are discussed in terms of assessment and stabilization, diagnosis, and treatment and disposition. This review contains 5 figures, 19 tables, and 71 references. Keywords: Acute scrotal pain, testicular torsion, priapism, Peyronie disease, paraphimosis, phimosis, balanitis, posthitis, epididymitis

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Acute scrotal pain from idiopathic ilioinguinal neuropathy: Diagnosis and treatment with EMG-guided nerve block

Clinical Neurology and Neurosurgery ◽

10.1016/j.clineuro.2007.03.011 ◽

2007 ◽

Vol 109 (6) ◽

pp. 535-537 ◽

Cited By ~ 7

Author(s):

B.C. ter Meulen ◽

E.W. Peters ◽

A. Wijsmuller ◽

R.F. Kropman ◽

A. Mosch ◽

...

Keyword(s):

Nerve Block ◽

Diagnosis And Treatment ◽

Scrotal Pain ◽

Acute Scrotal Pain

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Characteristics, diagnosis, and treatment modality of pediatric patients with cystic echinococcosis: a single centre experience

The Turkish Journal of Pediatrics ◽

10.24953/turkjped.2019.05.009 ◽

2019 ◽

Vol 61 (5) ◽

pp. 704

Author(s):

Ayşe Kaman ◽

Gönül Tanır ◽

Emin Çakmakçı ◽

Pervin Demir ◽

Fatma Nur Öz ◽

...

Keyword(s):

Cystic Echinococcosis ◽

Treatment Modality ◽

Pediatric Patients ◽

Diagnosis And Treatment ◽

Single Centre ◽

Single Centre Experience

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W1191 Increased Diagnostic Yield of Small Bowel Tumors With PillCam: the Role of Capsule Endoscopy in Diagnosis and Treatment of Gastrointestinal Stromal Tumours (GIST). Italian Single-Centre Experience

Gastroenterology ◽

10.1016/s0016-5085(10)63085-5 ◽

2010 ◽

Vol 138 (5) ◽

pp. S-670-S-671

Author(s):

Maria Elena Riccioni ◽

Riccardo Urgesi ◽

Cristiano Spada ◽

Rossella Cianci ◽

Guido Costamagna

Keyword(s):

Small Bowel ◽

Capsule Endoscopy ◽

Diagnostic Yield ◽

Diagnosis And Treatment ◽

Gastrointestinal Stromal Tumours ◽

Single Centre ◽

Small Bowel Tumors ◽

Single Centre Experience

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Wait times for diagnosis and treatment of lung cancer: a single centre experience

Annals of Oncology ◽

10.1093/annonc/mdw391.06 ◽

2016 ◽

Vol 27 ◽

pp. vi523

Author(s):

C. Labbe ◽

M. Anderson ◽

S. Simard ◽

L. Tremblay ◽

F. Laberge ◽

...

Keyword(s):

Lung Cancer ◽

Diagnosis And Treatment ◽

Wait Times ◽

Single Centre ◽

Single Centre Experience

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Real-time Point-of-care Ultrasound for the Diagnosis and Treatment of Testicular Torsion

POCUS Journal ◽

10.24908/pocus.v6i2.15186 ◽

2021 ◽

Vol 6 (2) ◽

pp. 70-72

Author(s):

Rahul V. Nene ◽

Rachna Subramony ◽

Michael Marcias ◽

Colleen Campbell ◽

Amir Aminlari

Keyword(s):

Blood Flow ◽

Real Time ◽

Testicular Torsion ◽

Point Of Care ◽

Diagnosis And Treatment ◽

Acute Scrotum ◽

Point Of Care Ultrasound ◽

Scrotal Pain ◽

Real Time Analysis ◽

Acute Scrotal Pain

Background: Testicular torsion is a surgical emergency that needs prompt diagnosis and treatment. Point-of-Care ultrasound (POCUS) can not only establish the diagnosis but also guide the Emergency Physician in evaluating the response to manual detorsion. Case Report: We describe the case of a 13-year-old male who presented with acute scrotal pain. We demonstrate how bedside ultrasound was used to make the diagnosis of testicular torsion, guide the technique for manual detorsion, and confirm adequate return of blood flow. Our case illustrates the ease with which POCUS can be used in real time to diagnose and treat organ-threatening pathology, but more importantly, it shows how real-time POCUS was used to detorse a testicle that was refractory to the standard detorsion technique. Conclusion: The acute scrotum is a time-sensitive presentation and if testicular torsion is present, the diagnosis should be made as soon as possible. Many Emergency Departments do not have 24-hour coverage of ultrasound technicians, which would delay the diagnosis and treatment. Moreover, when manual detorsion is attempted, it often does not work because the testicle may need more than the standard 180 degree medial to lateral rotation. POCUS provides real-time analysis of return of blood flow and can thus guide further rotation, or opposite direction rotation, as needed.

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