We present a case of a 22-year-old man who presented with traumatic unilateral testicular dislocation resulting from a blunt scrotal injury. Colour flow Doppler imaging revealed a viable testis dislocated in the inguinal canal. Inguinal exploration confirmed a healthy and viable testis, which was relocated in the scrotum and an orchiopexy was performed. The patient made an uneventful recovery. We recommend early intervention once the diagnosis of testicular dislocation is established to preserve testicular function.
RésuméNous décrivons le cas d'un homme de 22 ans présentant une luxation testiculaire unilatérale par suite d'un traumatisme scrotal fermé. Une cartographie Doppler couleur a révélé une testicule viable ayant pénétré le canal inguinal. L'exploration inguinale a confirmé que la testicule était saine et viable, et cette dernière a été replacée dans le scrotum par orchidopexie. Le patient s'est bien rétabli, sans aucune complication. Nous recommandons une intervention rapide après la pose du diagnostic de luxation testiculaire afin de préserver la fonction testiculaire.the condition would resolve on its own. He was admitted to our institution with a history of increasing pain and discomfort. The patient denied any problems with urination or sexual activity.On examination, the left hemiscrotum was found to be empty (Fig. 1) and the testis was palpable in the inguinal region. The right testicle was in the normal position in the scrotum. The patient reported that his left testicle had lain slightly higher than the right since adolescence but denied cryptorchidism, retractile testis or inguinal hernia. Ultrasonography confirmed the position of the left testis, which was normal in size, and colour flow Doppler imaging demonstrated normal blood flow in the dislocated testis (Fig. 2).Left-sided inguinal exploration confirmed a healthy, viable testis dislocated in the inguinal canal (Fig. 3). Another noticeable finding was a relatively shorter spermatic cord, which corresponded to the clinical history given. Extra length was gained by separating the cremasteric muscle from the cord structures.The testis was pushed through the dartos muscle into the scrotum without undue tension and a 3-point fixation was performed through a transverse scrotal incision. The patient made an uneventful recovery and was discharged the next day.