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{
    "pk": 1187,
    "title": "Real-time Ultrasound-Guided Manual Testicular Detorsion: A Case Report",
    "subtitle": null,
    "abstract": "Introduction: \nAcute testicular torsion is a surgical emergency due to acute testicular ischemia. Manual testicular detorsion is a testis-saving, bedside therapeutic when performed correctly and in a timely fashion. This procedure is most commonly performed blindly with pain relief as the endpoint for detorsion. However, up to one-third of patients continued to show signs of residual torsion in the operating room even using pain relief as the stopping point for the procedure.\nCase Report:\n We present a case demonstrating the utility of color Doppler ultrasound to confirm complete manual detorsion in a 14-year-old male with acute testicular torsion. The patient underwent 360-degree detorsion and had relief of pain; however, color Doppler demonstrated incomplete return of flow to the testis. After an additional 180-degree turn was made, color Doppler demonstrated complete return of normal vascular flow to the torsed testis.\nConclusion:\n When it comes to testicular viability, timely restoration of blood flow to the testicle is of utmost importance. Manual detorsion is a non-invasive intervention that can be quickly and effectively performed at the bedside. Moreover, using color Doppler ultrasound guidance can ensure that physicians detorse in the proper direction and to completion, by providing instant visualization of restorative flow and ensuring reperfusion of the testis while awaiting definitive surgical management.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Testicular torsion"
        },
        {
            "word": "detorsion"
        },
        {
            "word": "ultrasound"
        },
        {
            "word": "color Doppler"
        },
        {
            "word": "case report"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0zh5h8r0",
    "frozenauthors": [
        {
            "first_name": "Wilson",
            "middle_name": "T.",
            "last_name": "Smith",
            "name_suffix": "",
            "institution": "Vassar Brothers Medical Center, Department of Emergency Medicine, Poughkeepsie, New York",
            "department": "None"
        },
        {
            "first_name": "Stephanie",
            "middle_name": "",
            "last_name": "Midgley",
            "name_suffix": "",
            "institution": "Vassar Brothers Medical Center, Department of Emergency Medicine, Poughkeepsie, New York",
            "department": "None"
        },
        {
            "first_name": "Tobias",
            "middle_name": "",
            "last_name": "Kummer",
            "name_suffix": "",
            "institution": "Mayo Clinic, Department of Emergency Medicine, Rochester, Minnesota",
            "department": "None"
        }
    ],
    "date_submitted": "2022-08-08T19:35:06+01:00",
    "date_accepted": "2022-08-08T19:35:06+01:00",
    "date_published": "2022-08-08T19:35:57+01:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1187/galley/926/download/"
        }
    ]
}