{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T01:36:36Z","timestamp":1793410596054,"version":"4.5.0"},"reference-count":30,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T00:00:00Z","timestamp":1614556800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,3,1]],"date-time":"2021-03-01T00:00:00Z","timestamp":1614556800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2020,12,27]],"date-time":"2020-12-27T00:00:00Z","timestamp":1609027200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The American Journal of Emergency Medicine"],"published-print":{"date-parts":[[2021,3]]},"DOI":"10.1016\/j.ajem.2020.11.023","type":"journal-article","created":{"date-parts":[[2020,11,15]],"date-time":"2020-11-15T09:35:47Z","timestamp":1605432947000},"page":"197-200","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":56,"special_numbering":"C","title":["Duration of symptoms is the only predictor of testicular salvage following testicular torsion in children: A case-control study"],"prefix":"10.1016","volume":"41","author":[{"given":"Zlatan","family":"Zvizdic","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amila","family":"Aganovic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emir","family":"Milisic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asmir","family":"Jonuzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denisa","family":"Zvizdic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Semir","family":"Vranic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.ajem.2020.11.023_bb0005","first-page":"2779","article-title":"Predictivity of clinical findings and Doppler ultrasound in pediatric acute scrotum","volume":"13","author":"Lemini","year":"2016","journal-title":"Urol J"},{"issue":"8","key":"10.1016\/j.ajem.2020.11.023_bb0010","doi-asserted-by":"crossref","first-page":"1613","DOI":"10.1016\/j.jpedsurg.2019.10.023","article-title":"Effect of pediatric testicular torsion on testicular function in the short term","volume":"55","author":"Taskinen","year":"2020","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.ajem.2020.11.023_bb0015","doi-asserted-by":"crossref","first-page":"929285","DOI":"10.1155\/2012\/929285","article-title":"The hypoxic testicle: physiology and pathophysiology","volume":"2012","author":"Reyes","year":"2012","journal-title":"Oxid Med Cell Longev"},{"issue":"4","key":"10.1016\/j.ajem.2020.11.023_bb0020","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1016\/S0090-4295(00)01049-9","article-title":"Medicolegal aspects of testicular torsion","volume":"57","author":"Matteson","year":"2001","journal-title":"Urology"},{"issue":"6","key":"10.1016\/j.ajem.2020.11.023_bb0025","doi-asserted-by":"crossref","first-page":"849","DOI":"10.1016\/j.jemermed.2015.06.052","article-title":"Malpractice litigation and testicular torsion: a legal database review","volume":"49","author":"Colaco","year":"2015","journal-title":"J Emerg Med"},{"issue":"5","key":"10.1016\/j.ajem.2020.11.023_bb0030","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/j.jpurol.2007.01.194","article-title":"Predictors of testicular viability in testicular torsion","volume":"3","author":"Cimador","year":"2007","journal-title":"J Pediatr Urol"},{"issue":"6","key":"10.1016\/j.ajem.2020.11.023_bb0035","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.21037\/tau.2017.09.10","article-title":"Degree of twisting and duration of symptoms are prognostic factors of testis salvage during episodes of testicular torsion","volume":"6","author":"Howe","year":"2017","journal-title":"Transl Androl Urol"},{"issue":"1","key":"10.1016\/j.ajem.2020.11.023_bb0040","doi-asserted-by":"crossref","first-page":"190","DOI":"10.5811\/westjem.2014.11.22495","article-title":"Factors influencing rate of testicular salvage in acute testicular torsion at a tertiary pediatric center","volume":"16","author":"Ramachandra","year":"2015","journal-title":"West J Emerg Med"},{"issue":"6","key":"10.1016\/j.ajem.2020.11.023_bb0045","doi-asserted-by":"crossref","first-page":"1210","DOI":"10.1590\/s1677-5538.ibju.2016.0166","article-title":"The amount of spermatic cord rotation magnifies the timerelated orchidectomy risk in intravaginal testicular torsion","volume":"42","author":"Dias","year":"2016","journal-title":"Int Braz J Urol"},{"issue":"2","key":"10.1016\/j.ajem.2020.11.023_bb0050","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1016\/S0022-5347(05)63987-0","article-title":"Testicular torsion: direction, degree, duration and disinformation","volume":"169","author":"Sessions","year":"2003","journal-title":"J Urol"},{"issue":"1","key":"10.1016\/j.ajem.2020.11.023_bb0055","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1046\/j.1464-410x.2001.00021.x","article-title":"Testicular tissue bleeding as an indicator of gonadal salvageability in testicular torsion surgery","volume":"87","author":"Arda","year":"2001","journal-title":"BJU Int"},{"issue":"2","key":"10.1016\/j.ajem.2020.11.023_bb0060","doi-asserted-by":"crossref","first-page":"79","DOI":"10.5455\/medarh.2014.68.79-82","article-title":"Testicular volume and testicular atrophy index as predictors of functionality of unilaterally cryptorchid testis","volume":"68","author":"Zvizdic","year":"2014","journal-title":"Med Arch"},{"issue":"1","key":"10.1016\/j.ajem.2020.11.023_bb0065","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1055\/s-0035-1566096","article-title":"Factors predicting testicular atrophy after testicular salvage following torsion","volume":"26","author":"Lian","year":"2016","journal-title":"Eur J Pediatr Surg"},{"issue":"1","key":"10.1016\/j.ajem.2020.11.023_bb0070","first-page":"121","article-title":"Oxidant and antioxidant status in experimental rat testis after testicular torsion\/detorsion","volume":"9","author":"Cvetkovic","year":"2015","journal-title":"Int J Fertil Steril"},{"issue":"1","key":"10.1016\/j.ajem.2020.11.023_bb0075","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1097\/PEC.0b013e31823f5ed9","article-title":"Torsion of the testicle: it is time to stop tossing the dice","volume":"28","author":"Mellick","year":"2012","journal-title":"Pediatr Emerg Care"},{"issue":"1","key":"10.1016\/j.ajem.2020.11.023_bb0080","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1177\/145749690709600112","article-title":"A 19-year review of paediatric patients with acute scrotum","volume":"96","author":"Makela","year":"2007","journal-title":"Scand J Surg"},{"issue":"5","key":"10.1016\/j.ajem.2020.11.023_bb0085","doi-asserted-by":"crossref","first-page":"1170","DOI":"10.1016\/j.urology.2009.07.1298","article-title":"Color Doppler sonography reliably identifies testicular torsion in boys","volume":"75","author":"Waldert","year":"2010","journal-title":"Urology"},{"issue":"5","key":"10.1016\/j.ajem.2020.11.023_bb0090","doi-asserted-by":"crossref","first-page":"2009","DOI":"10.1016\/j.juro.2011.07.024","article-title":"Pediatric testicular torsion epidemiology using a national database: incidence, risk of orchiectomy and possible measures toward improving the quality of care","volume":"186","author":"Zhao","year":"2011","journal-title":"J Urol"},{"issue":"4","key":"10.1016\/j.ajem.2020.11.023_bb0095","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1016\/j.emc.2019.07.013","article-title":"Imaging modalities in genitourinary emergencies","volume":"37","author":"Jakubowski","year":"2019","journal-title":"Emerg Med Clin North Am"},{"issue":"5","key":"10.1016\/j.ajem.2020.11.023_bb0100","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1007\/s00383-006-1681-0","article-title":"Early scrotal exploration in all cases is the investigation and intervention of choice in the acute paediatric scrotum","volume":"22","author":"Murphy","year":"2006","journal-title":"Pediatr Surg Int"},{"issue":"6","key":"10.1016\/j.ajem.2020.11.023_bb0105","doi-asserted-by":"crossref","first-page":"990","DOI":"10.1111\/j.1464-410X.2010.09557.x","article-title":"Outcomes of scrotal exploration for acute scrotal pain suspicious of testicular torsion: a consecutive case series of 173 patients","volume":"107","author":"Molokwu","year":"2011","journal-title":"BJU Int"},{"issue":"1","key":"10.1016\/j.ajem.2020.11.023_bb0110","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1016\/j.juro.2006.08.128","article-title":"Multicenter assessment of ultrasound of the spermatic cord in children with acute scrotum","volume":"177","author":"Kalfa","year":"2007","journal-title":"J Urol"},{"issue":"2","key":"10.1016\/j.ajem.2020.11.023_bb0115","doi-asserted-by":"crossref","first-page":"61","DOI":"10.7257\/1053-816X.2017.37.2.61","article-title":"Testicular torsion: current evaluation and management","volume":"37","author":"Hazeltine","year":"2017","journal-title":"Urol Nurs"},{"issue":"4","key":"10.1016\/j.ajem.2020.11.023_bb0120","doi-asserted-by":"crossref","first-page":"912","DOI":"10.2214\/AJR.12.9448","article-title":"Intermittent testicular torsion in the pediatric patient: sonographic indicators of a difficult diagnosis","volume":"201","author":"Munden","year":"2013","journal-title":"AJR Am J Roentgenol"},{"issue":"6 Suppl","key":"10.1016\/j.ajem.2020.11.023_bb0125","doi-asserted-by":"crossref","first-page":"2459","DOI":"10.1016\/j.juro.2011.01.016","article-title":"Pediatric testicular torsion: demographics of national orchiopexy versus orchiectomy rates","volume":"185","author":"Cost","year":"2011","journal-title":"J Urol"},{"issue":"3","key":"10.1016\/j.ajem.2020.11.023_bb0130","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1046\/j.1464-410X.2003.04307.x","article-title":"Testicular function after torsion of the spermatic cord","volume":"92","author":"Visser","year":"2003","journal-title":"BJU Int"},{"issue":"1","key":"10.1016\/j.ajem.2020.11.023_bb0135","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1002\/j.1939-4640.1986.tb00862.x","article-title":"Histopathology of prepubertal rat testes subjected to various durations of spermatic cord torsion","volume":"7","author":"Cosentino","year":"1986","journal-title":"J Androl"},{"issue":"3","key":"10.1016\/j.ajem.2020.11.023_bb0140","doi-asserted-by":"crossref","first-page":"785","DOI":"10.2214\/ajr.167.3.8751701","article-title":"Conventional color Doppler velocity sonography versus color Doppler energy sonography for the diagnosis of acute experimental torsion of the spermatic cord","volume":"167","author":"Lee","year":"1996","journal-title":"AJR Am J Roentgenol"},{"issue":"2","key":"10.1016\/j.ajem.2020.11.023_bb0145","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1016\/j.ultrasmedbio.2013.08.017","article-title":"Multi-planar dynamic contrast-enhanced ultrasound assessment of blood flow in a rabbit model of testicular torsion","volume":"40","author":"Paltiel","year":"2014","journal-title":"Ultrasound Med Biol"},{"issue":"4","key":"10.1016\/j.ajem.2020.11.023_bb0150","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/0022-3468(94)90090-6","article-title":"Late postoperative results in males treated for testicular torsion during childhood","volume":"29","author":"Tryfonas","year":"1994","journal-title":"J Pediatr Surg"}],"container-title":["The American Journal of Emergency Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735675720310329?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0735675720310329?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T15:52:29Z","timestamp":1760025149000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0735675720310329"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3]]},"references-count":30,"alternative-id":["S0735675720310329"],"URL":"https:\/\/doi.org\/10.1016\/j.ajem.2020.11.023","relation":{},"ISSN":["0735-6757"],"issn-type":[{"value":"0735-6757","type":"print"}],"subject":[],"published":{"date-parts":[[2021,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Duration of symptoms is the only predictor of testicular salvage following testicular torsion in children: A case-control study","name":"articletitle","label":"Article Title"},{"value":"The American Journal of Emergency Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajem.2020.11.023","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2020 The Authors. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}