Traumatic testicular rupture
Plastic guard broke off DIY equipment and accelerated into the patient, hitting his lower abdomen and scrotum. Marked swelling and tenderness of right hemiscrotum.
Imaged approximately 4 hours after injury
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Normal left testis and associated structures.
Rupture of right testis, with tunica albuginea defect in the inferomedial portion of the testis. The testis is approximately 50% larger in volume than the left.
Increased vascularity of the right testis, apart from at a heterogenous, hypoechoic component anteriorly with little flow, likely small contusion/hematoma.
Complex right haematocele.
Relatively preserved epididymal head.
3 case question available
This is a case of traumatic testicular rupture.
The tunica albuginea is ruptured, with extrusion of the testis inferomedially and a complex haematocele. Increased size and vascularity, with an anterior contusion.
These findings were confirmed at urgent surgical exploration and testicular salvage was achieved.