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KMID : 0385920140250030344
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Journal of the Korean Society of Emergency Medicine
2014 Volume.25 No. 3 p.344 ~ p.347
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Testicular Torsion as an Overlooked Cause of Acute Abdomen
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Jung Jae-Hung
Cha Kyoung-Chul
Chung Hyun-Chul
Cha Yong-Sung
Ryang Seung-Hoon
Kang Tae-Wook
Lee Chang-Min
Kim Kwang-Jin
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Abstract
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Acute scrotal pain is a common urologic presentation and critical pathology due to the possibility of organ loss in the emergency department. Referred pain in the lower quadrant of the abdomen may accompany testicular torsion. Of 58 patients with testicular torsion between January 2001 and March 2011, three visited the emergency department with abdominal pain alone. The median age of the patients was 16 years (range, 13-19). Median duration of abdominalpain to first medical examination and proper diagnosis by an urologist was 14 hours (range, 2-168) and 77 hours (range, 57-240), respectively. All patients underwent orchiectomy. Due to symptomatic variations for testicular torsion, all clinicians providing emergency care to patients who have referred pain in the lower abdomen without scrotal pain should consider the constellation of symptoms in order to avoid superfluous diagnostic delay.
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KEYWORD
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Abdomen, Acute, Testicular torsion
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