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{ "pk": 18311, "title": "Torsion of Undescended Testis in a 14-Month-Old Child Refusing to Bear Weight", "subtitle": null, "abstract": "In this report, we discuss a case of a 14-month-old male presenting in the emergency department refusal to bear weight on his left leg. Plain radiographic studies revealed no evidence of effusion, fracture, or dislocation. Laboratory studies were significant for an elevated white blood cell count, erythrocyte sedimentation rate, and C-reactive protein. Further studies included unremarkable ultrasound of the left hip and normal magnetic resonance imaging (MRI) of both hips. An incidental finding on MRI was a left inguinal mass concerning an incarcerated hernia. Ultrasound of this demonstrated a left undescended testis within the inguinal canal and possible incarcerated paratesticular inguinal hernia. The final pathologic diagnosis of a torsed gangrenous left testicle the inguinal canal was confirmed during surgery. [West J Emerg Med. 2011;12(4):515–519.]", "language": "en", "license": { "name": "Creative Commons Attribution-NonCommercial 4.0", "short_name": "CC BY-NC 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\nNonCommercial — You may not use the material for commercial purposes.\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-nc/4.0" }, "keywords": [ { "word": "Testicular torsion" }, { "word": "Urology" }, { "word": "history and physical exam" }, { "word": "refusal to bear weight" }, { "word": "Congenital, Hereditary, and Neonatal Diseases and Abnormalities" }, { "word": "Diagnosis" }, { "word": "Male Urogenital Diseases" } ], "section": "Clinical Practice", "is_remote": true, "remote_url": "https://escholarship.org/uc/item/4xn385mp", "frozenauthors": [ { "first_name": "Ryan", "middle_name": "M", "last_name": "Knight", "name_suffix": "", "institution": "San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, Texas", "department": "None" }, { "first_name": "Peter", "middle_name": "J", "last_name": "Cuenca", "name_suffix": "", "institution": "San Antonio Uniformed Services Health Education Consortium, Fort Sam Houston, Texas", "department": "None" } ], "date_submitted": "2010-11-02T07:00:00Z", "date_accepted": "2010-11-02T07:00:00Z", "date_published": "2011-05-27T07:00:00Z", "render_galley": null, "galleys": [ { "label": "", "type": "pdf", "path": "https://journalpub.escholarship.org/westjem/article/18311/galley/9409/download/" } ] }