2020 Volume 41 Issue 3 Pages 366-368
Background : Testis is protected by tunica albuginea. However, large direct force could lead to rupture a testis trapped against thigh or pubis. Testicular rupture requires surgical intervention. Case : A 24-year-old male motorcyclist transferred to the emergency department with an acute scrotum pain following collision with oncoming vehicle. On arrival, his vital sign was stable, and primary survey showed no abnormal findings. The secondary survey revealed dislocation of his right testicular out of inguinal canal and his left scrotum was grossly swollen. Gray-Scale and Doppler Ultrasonography showed the enlarged (35×28×26mm) left testis and reduced or absent flow of left testis. Given these findings, we suspected of left testicular rupture. The patient was urgently taken to the operating room for a scrotal exploration. The left testicle was necrotic and underwent orchiectomy. The right testicle had orchiopexy. He discharged on the 7th day without complications. Conclusion : In case of scrotum trauma, it is important to evaluate both sides of testes to achieve preferable functional outcome.
