{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T18:27:32Z","timestamp":1784917652780,"version":"3.55.0"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Testicular torsion is a surgical emergency. It obstructs the blood supply to the testes, leading to testicular ischemia and necrosis. It presents with a sudden onset of severe unilateral testicular pain associated with nausea\/vomiting, swollen scrotum, and high-riding testicles with an absent cremasteric reflex and negative Prehn sign. Prompt diagnosis of ischemic testicles using ultrasonography is challenging for emergency physicians. Color Doppler ultrasound may reveal a relative decrease or absence of blood flow in the affected testicle. The most specific ultrasonographic feature was the whirlpool sign of the spermatic cord. Manual detorsion should be performed as soon as possible before surgical intervention. However, manual detorsion may fail because of patient discomfort, incomplete torsion, and rotation of the testicle in a less common direction. We report a case demonstrating ultrasound-guided detorsion in a 14-year-old boy with right testicular torsion. The present case highlights the importance of incorporating ultrasound guidance into manual detorsion, which can improve the success rate of the procedure.<\/jats:p>","DOI":"10.1097\/pec.0000000000003048","type":"journal-article","created":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T20:00:06Z","timestamp":1693857606000},"page":"813-815","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Successful Outcome of Manual Testicular Detorsion Using Point-of-Care Ultrasound Guidance"],"prefix":"10.1097","volume":"39","author":[{"given":"Chien-Te","family":"Hsu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Po-Wei","family":"Chiu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,9,4]]},"reference":[{"key":"bib1-20250504","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1016\/j.juro.2016.09.090","article-title":"Testicular torsion presentation trends before and after pediatric urology subspecialty certification","volume":"197","year":"2017","journal-title":"J Urol"},{"key":"bib2-20250504","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1002\/bjs.1800630618","article-title":"Torsion of the testis and allied conditions","volume":"63","year":"1976","journal-title":"Br J 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management","volume":"88","year":"2013","journal-title":"Am Fam Physician"},{"key":"bib8-20250504","doi-asserted-by":"crossref","first-page":"55","DOI":"10.5001\/omj.2018.10","article-title":"An accurate diagnostic pathway helps to correctly distinguish between the possible causes of acute scrotum","volume":"33","year":"2018","journal-title":"Oman Med J"},{"key":"bib9-20250504","doi-asserted-by":"crossref","first-page":"273","DOI":"10.4274\/jus.galenos.2019.2786","article-title":"Accuracy and delay of using ultrasound in testicular torsion","volume":"6","year":"2019","journal-title":"J Urol Surg"},{"key":"bib10-20250504","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1111\/j.1553-2712.2009.00375.x","article-title":"Bedside ultrasound of a painful testicle: before and after manual detorsion by an emergency physician","volume":"16","year":"2009","journal-title":"Acad Emerg Med"},{"key":"bib11-20250504","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1016\/j.juro.2016.09.087","article-title":"Improving organ salvage in testicular torsion: comparative study of patients undergoing vs not undergoing preoperative manual detorsion","volume":"197","year":"2017","journal-title":"J Urol"},{"key":"bib12-20250504","doi-asserted-by":"crossref","first-page":"608.e1","DOI":"10.1016\/j.jpurol.2019.07.003","article-title":"Accuracy of point-of-care ultrasound by pediatric emergency physicians for testicular torsion","volume":"15","year":"2019","journal-title":"J Pediatr Urol"},{"key":"bib13-20250504","article-title":"Point of care ultrasound for the diagnosis of pediatric testicular torsion: a retrospective case series analysis","year":"2022","journal-title":"Pediatr Emerg Care"}],"container-title":["Pediatric Emergency Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000003048","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,4]],"date-time":"2025-05-04T18:10:22Z","timestamp":1746382222000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/PEC.0000000000003048"}},"subtitle":["A Clinical Experience"],"short-title":[],"issued":{"date-parts":[[2023,9,4]]},"references-count":12,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.1097\/pec.0000000000003048","relation":{},"ISSN":["1535-1815","0749-5161"],"issn-type":[{"value":"1535-1815","type":"electronic"},{"value":"0749-5161","type":"print"}],"subject":[],"published":{"date-parts":[[2023,9,4]]}}}