Traumatic testicular dislocation: A rare occurrence of blunt scrotal injury

We report a motorcyclist who presented with a right empty hemiscrotum with ecchymosis and swelling after sustaining straddle injuries in a motorcycle collision. A tender soft mass was palpable in the right groin on physical examination. The ultrasound image revealed a right dislocated testis within...

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Bibliographic Details
Published in:Urological science 2014-12, Vol.25 (4), p.158-160
Main Authors: Tai, Yi-Sheng, Chen, Yi-Sheng, Tsai, Ping-Kun, Wong, Wen-Jen
Format: Article
Language:English
Subjects:
scrotal trauma
testicular dislocation
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Summary:We report a motorcyclist who presented with a right empty hemiscrotum with ecchymosis and swelling after sustaining straddle injuries in a motorcycle collision. A tender soft mass was palpable in the right groin on physical examination. The ultrasound image revealed a right dislocated testis within the inguinal canal; it had a normal size and echotexture. Manual reduction was unsuccessful. The patient underwent surgical exploration and reduction. He recovered well after undergoing orchidopexy. Two weeks later, the follow-up physical examination at the outpatient clinic was normal. Traumatic testicular dislocation is a rare occurrence after blunt scrotal trauma and is easily overlooked. Manual reduction of a dislocated testis has a low success rate and may overlook coexisting injuries. Early surgical exploration and testicular repositioning are necessary to preserve the testis and avoid coexisting injuries.
ISSN:1879-5226
DOI:10.1016/j.urols.2014.04.001