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Open Access Publications from the University of California

Testicular Rupture: A Tough Nut to Crack


Blunt scrotal injury represents a diagnostic dilemma for emergency physicians (EP).Consequently, point-of-care ultrasound (POCUS) has emerged as a tool for early investigation ofthe acute scrotum in the emergency department. We describe a case where an EP used scrotalPOCUS to immediately visualize the loss of testicular contour and underlying heterogeneousparenchyma to rapidly make the diagnosis of testicular rupture in a young male presenting withscrotal trauma. The use of POCUS in this case expedited therapy, likely improving the patient’soutcome. To our knowledge, this is the first detailed description of testi cular rupture diagnosedwith POCUS by an EP.

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