{"pk":602,"title":"A Pair of Testicular Torsion Medicolegal Cases with Caveats: The Ball’s in Your Court","subtitle":null,"abstract":"In this article, we present two medicolegal cases illustrating medical and diagnostic pitfalls that can lead to litigation for missed testicular torsion. Testicular torsion (TT) is a urologic emergency with potentially devastating consequences and costs, for providers and patients alike. TT occurs in approximately 4.5 per 100,000 males under the age of 25. While uncommon, TT is the third most common cause of medical malpractice suits in this demographic. As a consequence of varying presentations and physical exam findings, and diagnostic imaging subject to individual interpretation, this time-sensitive diagnosis may be missed by emergency department providers. Delays in diagnosis significantly increases the morbidity associated with TT, and 31.9%-41.9% of such cases result in testicular loss. The average reported settlement for TT malpractice litigation is $60,000. This article discusses two actual malpractice cases involving TT and provides insight and caveats to ensure an optimal evaluation and diagnostic approach to this often-elusive condition.","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":[],"section":"Medical Legal Case Report","is_remote":true,"remote_url":"https://escholarship.org/uc/item/9w26r3q7","frozenauthors":[{"first_name":"John","middle_name":"B.","last_name":"Bass","name_suffix":"","institution":"Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington","department":"None"},{"first_name":"Kyle","middle_name":"S.","last_name":"Couperus","name_suffix":"","institution":"Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington","department":"None"},{"first_name":"Jamie","middle_name":"L.","last_name":"Pfaff","name_suffix":"","institution":"University of Texas Southwestern School of Medicine, Dallas, Texas","department":"None"},{"first_name":"Gregory","middle_name":"P.","last_name":"Moore","name_suffix":"","institution":"Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington","department":"None"}],"date_submitted":"2018-10-10T14:50:39-07:00","date_accepted":"2018-10-10T14:50:39-07:00","date_published":"2018-10-18T14:13:55-07:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/602/galley/363/download/"}]}