Patients presenting with testicular pain and swelling mandate an urgent urology review and scrotal exploration to prevent testicle loss due to torsion. Other pathology masquerading as torsion is extremely rare but can occur. We present one such case. A 14-year-old male presented with a 1-day history of right testicular swelling and tenderness. He was apyrexial and denied any other symptoms. Blood tests demonstrated raised inflammatory markers. He had lower left-sided abdominal tenderness with a swollen, erythematous right hemiscrotum. During an urgent scrotal exploration for testicular torsion, a purulent hydrocele with a patent process vaginalis was noted, but no torsion. Post-operative abdominal pain mandated a general surgical review and subsequent appendicectomy. The patient made a full recovery. Acute suppurative appendicitis presenting as a urological emergency is extremely rare. To make a correct diagnosis and prevent multiple surgeries, a joint urological and general surgical assessment with a high index of suspicion is required.
ContextImproving the welfare outcomes for captured animals is critically important and should underpin ‘best-practice’ trapping. Most Australian States and Territories have regulations and guidelines that form a legal framework for the maximum number of hours an animal can be restrained in a trap. Because servicing all traps within preferred time frames (less than 24h) can be logistically difficult or is considered undesirable for efficacy reasons, some jurisdictions have adopted relatively long trap-checking intervals (up to 72 h). AimsWe developed and tested the signal transmission and alert efficacy of a foot hold-trap alert system, based on Celium technology, so as to advise trappers of the activation of individual foot-hold traps, even in remote locations. MethodsWe refined the Celium trap-alert system and designed a below-ground wireless node that transmits a message via satellite or by using the cellular system when a foot-hold trap is sprung. We tested signal transmission and alert efficacy in three locations, with a focus in Australia. Key resultsTransmission of signals from nodes to hubs and to a smart-phone application were used to resolve interference problems and to identify signal limitations and strengths. During the capture of 34 dingoes, 91% of captures resulted in an alert being received. False negatives were attributed to technical issues with nearby transmitters swamping signals, and software problems that have since been resolved. In 40 captures of dogs and foxes, only one trap-alert transmitter (mole) was uncovered by a target animal and no devices were damaged by animals post-capture. ConclusionsThis cable-less trap-alert system successfully uses both cellular and satellite networks to transmit messages from desert and coastal locations to trappers, in Australia. We confirmed that this trap-alert system is not detected by target predators in the areas tested and can be effectively used to alert trappers when traps have been sprung. ImplicationsThis trap-alert system provides a tool to improve welfare outcomes for trapped target and non-target animals through Australia and New Zealand and wherever trapping occurs. It, furthermore, provides a solution to checking traps daily when the distance to and between traps cannot be covered within an appropriate time frame. Although trap alerts can never replace the value of daily trap checking by the trapper, they provide a solution to a management problem, namely, one of accessibility to sites.
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