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Review

Testicular Torsion in the Emergency Room: A Review of Detection and Management Strategies

Abdullah Laher1 Department of Emergency Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South AfricaCorrespondence[email protected]

https://orcid.org/0000-0002-3306-7389

Shavania Ragavan2 Division of Urology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa

https://orcid.org/0000-0002-0695-8792

Puja Mehta2 Division of Urology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa

https://orcid.org/0000-0002-4799-2655

Ahmed Adam2 Division of Urology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa

https://orcid.org/0000-0001-9069-3282

Pages 237-246 | Published online: 12 Oct 2020

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Bei-Cyuan Guo & Han-Ping Wu. (2023) Atypical symptoms of testicular torsion in a 7-year-old child: A case report. Medicine 102:18, pages e33709.
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Aaron Lacy, Amanda Smith, Alex Koyfman & Brit Long. (2023) High risk and low prevalence diseases: Testicular torsion. The American Journal of Emergency Medicine 66, pages 98-104.
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Roshan Chanchlani & Himanshu Acharya. (2023) Acute Scrotum in Children: A Retrospective Study of Cases With Review of Literature. Cureus.
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Yiğit Ali Üncü, Çağrı Akın Şekerci, Selçuk Yücel, Aslınur Sircan-Kucuksayan, Haydar Kamil Çam, Murat Savaş, Asıf Yıldırım, Koray Ağras, Mehmet Baykara & Murat Canpolat. (2023) Diagnosis of Testicular Torsion and Differentiation From Other Pathologies Using Near-Infrared Spectroscopy. Urology 173, pages 159-163.
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Kevin Molyneux, Jennifer Beck-Esmay, Alex Koyfman & Brit Long. (2023) High risk and low prevalence diseases: Mesenteric ischemia. The American Journal of Emergency Medicine 65, pages 154-161.
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Ausra Lukosiute-Urboniene, Deividas Nekrosius, Inga Dekeryte, Arturas Kilda & Dalius Malcius. (2023) Clinical risk factors for testicular torsion and a warning against falsely reassuring ultrasound scans: a 10-year single-centre experience. Emergency Medicine Journal 40:2, pages 134-139.
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Edward J M Hart & Samuel S Folkard. (2022) Segmental Testicular Infarction Due to Arterial Atheroma: A Case Report. Cureus.
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Jeremy Saad, Ramesh Shanmugasundaram, Sean Heywood, Celi Varol & Matthew J. Roberts. (2022) Testicular Torsion: Not Just in Young Men. Journal of Urological Surgery 9:3, pages 215-217.
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Mikayla van Welie, Liang G. Qu, Ahmed Adam, Nathan Lawrentschuk & Abdullah E. Laher. (2022) Recurrent testicular torsion post orchidopexy ‐ an occult emergency: a systematic review. ANZ Journal of Surgery 92:9, pages 2043-2052.
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Ozgur KARCIOGLU, Selman YENİOCAK, Mandana HOSSEINZADEH & Seckin Bahar SEZGINOzgur KARCIOGLU, Selman YENİOCAK, Mandana HOSSEINZADEH & Seckin Bahar SEZGIN. 2022. Abdominal Pain: Essential Diagnosis and Management in Acute Medicine. Abdominal Pain: Essential Diagnosis and Management in Acute Medicine 190 216 .

Mustafa Cellat, Cafer Tayer İşler, Ahmet Uyar, Müslüm Kuzu, Tuba Aydın, Muhammed Etyemez, Erdinç Türk, Ilker Yavas & Mehmet Güvenç. (2022) Protective effect of Smilax excelsa L. pretreatment via antioxidant, anti‐inflammatory effects, and activation of Nrf‐2/ HO ‐1 pathway in testicular torsion model . Journal of Food Biochemistry 46:8.
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William Maynard, Nimlan Shanmugathas, Alexandra Mundell, Mussab Yassin, Mariana Bertoncelli-Tanaka, Roland Morley & Suks Minhas. (2022) Scrotal exploration for acute testicular pain: A contemporary UK series from a tertiary centre. Journal of Clinical Urology, pages 205141582210993.
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Ilke Onur Kazaz, Selim Demir, Gokcen Kerimoglu, Fatih Colak, Nihal Turkmen Alemdar, Sedanur Yilmaz Dogan, Serdar Bostan & Ahmet Mentese. (2022) Chlorogenic acid ameliorates torsion/detorsion-induced testicular injury via decreasing endoplasmic reticulum stress. Journal of Pediatric Urology 18:3, pages 289.e1-289.e7.
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Carmela Visalli, Sergio Lucio Vinci, Stefania Mondello, Firas Kobeissy, Ignazio Salamone, Alessandra Coglitore, Renato Trimarchi, Agostino Tessitore, Pietro Impellizzeri & Enricomaria Mormina. (2021) Microvascular imaging ultrasound (MicroV) and power Doppler vascularization analysis in a pediatric population with early scrotal pain onset. Japanese Journal of Radiology 40:2, pages 192-201.
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Lauren E. Stoltzfus, Christina Von Colln-Appling & Megan A. Infanti Mraz. (2022) Testicular Torsion. Journal of Pediatric Surgical Nursing 11:4, pages 126-129.
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Mohammad Ghanem & Abdelhamid H. Elgazzar. 2022. The Pathophysiologic Basis of Nuclear Medicine. The Pathophysiologic Basis of Nuclear Medicine 263 287 .

Sapan Shah & Latha Ganti. 2022. Atlas of Emergency Medicine Procedures. Atlas of Emergency Medicine Procedures 457 459 .

Maglin Halsey-Nichols & Nicole McCoin. (2021) Abdominal Pain in the Emergency Department. Emergency Medicine Clinics of North America 39:4, pages 703-717.
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Bernhard Haid. (2021) Comment on ‘Outcomes Following Emergency Fixation of Torted and Non-Torted Testes’. Journal of Pediatric Urology 17:4, pages 539-540.
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Alexander Kapp, David Troxler, Friederike Prüfer, Stefan Holland-Cunz, Martina Frech & Stephanie J. Gros. (2021) Testicular Torsion in the Absence of Severe Pain: Considerations for the Pediatric Surgeon. Children 8:6, pages 429.
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Joann Hsu & Alyssa Nguyen-Phuoc. (2021) Whirlpool sign on ultrasound in testicular torsion. Visual Journal of Emergency Medicine 22, pages 100985.
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