Traumatic ectopic dislocation of testis: an easily overlooked occurrence of blunt injury in polytrauma patients

Testicular dislocation: An atypical case and review of the literature

“… 1 According to Alyea et al the dislocated testis could then be displaced along a circle within the radius of the spermatic cord centered on the external inguinal ring. 4 These hypothetic locations and their reported frequency have been described by Schwartz et al 4 Testicular dislocations occurred in the superficial inguinal pouch in 50% of patients. 2 , 3 , 4 Other sites are: pubic (18%); canalicular (8%); penile (8%); intra-abdominal (6%); perineal (4%); acetabular (4%) and crural region (2%).…”

“… 4 These hypothetic locations and their reported frequency have been described by Schwartz et al 4 Testicular dislocations occurred in the superficial inguinal pouch in 50% of patients. 2 , 3 , 4 Other sites are: pubic (18%); canalicular (8%); penile (8%); intra-abdominal (6%); perineal (4%); acetabular (4%) and crural region (2%). Predisposing factors for testicular dislocation reported are the pre-existing indirect inguinal hernia, a wide external inguinal ring, the cremasteric reflex and testicular atrophy.…”

“…The pioneer in describing the first case was Claubry et al, in 1809. 2 , 4 Dislocation of the testis is defined as the displacement of normally located one or both testes to a position other than the scrotum. It is generally related to motorcycle accidents.…”

“…Nevertheless, this has short-term complications such as torsion of the dislocated testicle, adhesions, hematocele infection even get to the orchiectomy. 4 Therefore, open exploration and orchidopexy is often required and recommended as the preferred initial treatment.…”

“…Testicular dislocation is a rare entity that usually goes unnoticed because of the coexistence of other severe injuries as described in a multitrauma-injured motorcyclist. 1 , 2 , 3 , 4 In most cases, treatment requires early surgical correction to reduce long-term morbidities such as infertility, testicular atrophy, testicular pain syndrome, testicular neoplasia and psychological effects. 2 , 3 , 4 …”