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Testicular rupture

Case contributed by Matthew Lukies
Diagnosis certain

Presentation

The patient was struck by a car at low speed, slid under the car, and was dragged a short distance.

Patient Data

Age: 25 years
Gender: Male
ultrasound
  • herniation of the left testicular parenchyma measuring 2.9 x 2.3 x 1.7 cm through a defect in the tunica albuginea of the inferior pole

  • reduced, but present, doppler flow into the herniated tissue compared to the normal testicular parenchyma

  • multiple small (5–6 mm) left testicular intraparenchymal hemorrhages

  • small left hydrocoele

Case Discussion

The patient was taken to the operating room by the urology team, where the left testicular rupture and scrotum were explored, debrided, and repaired.

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