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in particular during times of crisis.Acute testicular pain in childhood can be caused by testicular torsion, torsion of the appendix testis, or epididymo-orchitis. Quick and reliable diagnosis is essential for determining the further course of action (surgery or conservative approach). The diagnostic tool of choice is high-resolution sonography with a linear transducer ( 10 MHz) combined with color and spectral Doppler sonography. The Doppler device settings should include a low pulse repetition frequency ( less then  4 cm/s),

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