Whirlpool Sign
16 yo male who presents with left testicular pain. Exam with horizontal left testicle. POCUS shows blood flow to both testicles, however left distal spermatic cord demonstrates whirlpool sign, consistent with intermittent/partial torsion.
Dr. Paul Khalil and Dr. Joshua Kim - University of Louisville
Testicles Buddy View
Normal testicle buddy view with color. The buddy view is the best place to start when doing as testicular ultrasound to compare the echogenicity, size, blood flow and position of the testicles.
Contributor: Paul Khalil, MD Nicklaus Children's Hospital @khalil3paul
Normal Spermatic Cord
Normal spermatic cord. Flow should be linear as apposed to the "corkscrew" sign in torsion.
Contributor: Paul Khalil, MD Nicklaus Children's Hospital @khalil3paul
Torsion of the Appendix Testicle
2 yo male present with testicle pain and swelling. POCUS shows torsion of the appendix of the testicle. Please note hyperechoic appendage of testicle.
Contributor: Paul Khalil, MD, Nicklaus Children's Hospital, @khalil3paul
Spermatic Cord "Corkscrew"
13 yo male presents with intermittent testicular pain. There was some flow to testicle, but when examining spermatic cord flow was twisted (corkscrew sign) indicating partial torsion.
Contributor: Paul Khalil, MD and Joshua Kim, DO
Prolonged Testicular Torsion
2 yo male with testicular torsion presenting at 48 hrs. Note the twisted spermatic cord, change of echogenicity of testicle and reactive hydrocele.
Contributor: Paul Khalil, MD Nicklaus Children's Hospital @khalil3paul
Normal Adolescent Uterus
Normal adolescent uterus.
Contributor: Paul Khalil, MD Nicklaus Children's Hospital @khalil3paul
Normal Ovary
Normal Adolescent Ovary (transabdominal).
Contributor: Paul Khalil, MD Nicklaus Children's Hospital @khalil3paul
Testicular Torsion Case Series 1 of 2
14 yo male presents with right testicular pain. POCUS shows high riding testicle with absent flow in buddy view as well as isolated view. Image one is the isolated view. Image 2 depicts buddy view. Case Series 1 of 2
Testicular Torsion Case Series 2 of 2
14 yo male presents with right testicular pain. POCUS shows high riding testicle with absent flow in buddy view as well as isolated view. Image one is the isolated view. Image 2 depicts buddy view. Case Series 2 of 2
Left Sided Testicular Torsion, 15yo
15 yo M with sudden onset testicular pain (left) and vomiting. POCUS shows decreased flow to the left testicle consistent with torsion. he was taken immediately to the OR.
Contributor: Kathryn Pade, MD, Rady Children's Hospital San Diego
Right Renal Mass, Wilm's Tumor Case Series 2 of 2
Incidental finding of a Wilm's tumor in 3 yo female presenting to the PED with fever and lower abdominal pain. Educational scan that turned out to significantly alter management. Pt had right nephrectomy of localized tumor. Case Series 2 of 2
Contributor: Melinda Tonelli MD, University of Rochester, Rochester NY
Wilm's tumor localized to right kidney Case Series 1 of 2
Incidental finding of a Wilm's tumor in 3 yo female presenting to the PED with fever and lower abdominal pain. Educational scan that turned out to significantly alter management. Pt had right nephrectomy of localized tumor. Case Series 1 of 2
Contributor: Melinda Tonelli MD, University of Rochester, Rochester NY
