A Case of Traumatic Testicular Rupture in a Child

Abstract

The patient was a 13-year-old boy. He was kicked on the right scrotum by a friend and was referred to our hospital for suspected testicular rupture. Ultrasonography revealed a hypoechoic area crossing the testis and a heterogeneous hypoechoic area, which was thought to be a right testicular rupture and intrascrotal hematoma. Doppler ultrasonography showed a decreased blood flow in the right testis. The patient was diagnosed as having a ruptured testis due to trauma, and emergency surgery was performed 9 hours after the injury. The albuginea of the testis was ruptured, and the torn testicular parenchyma was exposed, but the testis was judged to be preserved, and the albuginea was repaired. Traumatic rupture of the testis is mainly caused by traffic accidents such as motorcycle accidents and sports, and most of the cases reported in Japan are adult cases. We report a case of traumatic testicular rupture in a pediatric patient, with a review of the literature.