Date: 15 October 2018
A patient was admitted to the emergency department with complaints of abdominal pain and swollen scrotum for two days.
PE: guarding (+) on the suprapubic area, swollen and tender scrotum.
Lab: WBC: 19000, CRP: 20
POCUS: Bilateral testicular blood flow was assessed as normal. There were subcutaneous fluid collection, hyperechogenicity, and hyperechogenic foci (gas) that provide dirty shade.
Abdominal CT imaging, in which gas image was detected, was performed with the initial diagnosis of necrotizing fasciitis. The patient was hospitalized for emergency surgery.
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