Testicular rupture successfully treated with a tunica vaginalis flap

Abstract

Introduction Testicular injury with a tunica albuginea tear is typically reconstructed by primary closure. We herein describe the successful use of a tunica vaginalis flap for reconstruction of a ruptured testis for which primary closure was not possible. Case presentation A 21‐year‐old man visited our hospital with scrotal swelling after a baseball struck his left testis. Magnetic resonance imaging and ultrasonography indicated a left tunica albuginea tear, and emergency surgery was performed. Primary closure of the tunica albuginea was impossible since a tight closure could cause secondary damage. A vascular pedicle flap was prepared by shaping the tunica vaginalis to replace the tunica albuginea. He was discharged 2 days postoperatively. Ultrasonography showed normal size and blood flow in the ruptured testis at the 2‐week and 3‐month follow‐up. Conclusion A testicular vaginalis flap should be considered when primary closure is difficult in cases of testicular rupture with tunica albuginea damage.

Особливості Будови Білкової Оболонки Яєчка І Кавернозного Тіла Статевого Члена За Даними Скануючої Електронної Мікроскопії

“…2.в). Складчастість пристінкової пластинки піхвової оболонки яєчка, схожої на складчастість білкової оболонки яєчка, може обумовлювати доцільність застосування останнім часом клаптя піхвової оболонки для реконструкції при розриві яєчка, коли первинне закриття неможливе [13]. а б в Рис.…”