Traumatic testicular dislocation

Abstract

Introduction: Traumatic testicular dislocation is an uncommon complication of blunt scrotal injury and is easily overlooked because of the presence of other severe accompanying injuries. In most cases, an operation is needed for the prevention of malignant change or infertility. Patient concerns and diagnosis:We report a case of traumatic testicular dislocation with pelvic fracture and internal bleeding in a 27-year-old male with testis rupture after a motorcycle collision.Interventions and outcomes: He received emergent right radical orchiectomy, and a series of operations for femoral and pelvic fractures were performed after his condition stabilized in the intensive care unit. After 1 month postsurgery, no obvious genitourinary complications were noted. Conclusion:We suggest scrotum examination in all trauma patients, particularly if a pelvic injury is suspected or in case of a high risk of a motorcycle collision, to avoid missing the diagnosis and prevent severe complications Abbreviations: CT = computed tomography, PE = physical examination.

Bilateral traumatic testicular dislocation after motorbike accident: A case report with literature review

“…In TDT, clinical examination may reveal an empty scrotum and an inguinal mass, as observed in our patient. Interestingly, the absence of any mention of abnormal genitalia in the initial inspection underlines the need for careful and thorough examination of trauma patients, especially those involved in high-impact accidents [6] .…”

“…Postoperatively, patients require close follow-up to monitor for potential complications such as testicular abscess, impaired fertility, or malignant change, which can occur despite successful relocation [6] .…”