Point-of-Care Ultrasound detecting testicular rupture in pediatric emergency

Abstract

Acute scrotal pain is a true emergency that needs to be identified, diagnosed, and managed quickly to avoid any testicular tissue loss. In pediatric emergency, testicular torsion has been the most worrisome diagnosis that needs to be included or excluded as fast as possible. Point-of-care ultrasound (POCUS) has been reported to be a game changer. However, because testicular rupture is an extremely rare entity in the pediatric age group, there are limited reports about POCUS use in diagnosing the condition. We describe a case of a 4-year-old boy who presented with acute scrotal pain secondary to trauma 2 days previous, where POCUS was able to identify and diagnose testicular rupture in a timely fashion that facilitated management and intervention.