Testicular fracture
Citation, DOI, disclosures and article data
At the time the article was created Hamish Smith had no recorded disclosures.
View Hamish Smith's current disclosuresAt the time the article was last revised Sonam Vadera had no financial relationships to ineligible companies to disclose.
View Sonam Vadera's current disclosures- Fractured testicle
- Fractured testis
- Testicular fractures
Testicular fracture is a break in the parenchyma of the testis as a result of blunt trauma.
Radiographic features
Ultrasound
A fracture line can be seen as a hypoechoic and avascular area within the testis but is only seen in 17% of cases 1.
Disruption of the tunica albuginea suggests testicular rupture, which requires surgical management.
Treatment and prognosis
The presence of blood flow demonstrates which region of the testis is still viable 2. Sometimes debridement along the line of the fracture is all that is required, while the rest of the testis is spared 2. Mild intratesticular fractures may be managed conservatively 3.
References
- 1. Bhatt S, Dogra VS. Role of US in testicular and scrotal trauma. (2008) Radiographics : a review publication of the Radiological Society of North America, Inc. 28 (6): 1617-29. doi:10.1148/rg.286085507 - Pubmed
- 2. Deurdulian C, Mittelstaedt CA, Chong WK, Fielding JR. US of acute scrotal trauma: optimal technique, imaging findings, and management. (2007) Radiographics : a review publication of the Radiological Society of North America, Inc. 27 (2): 357-69. doi:10.1148/rg.272065117 - Pubmed
- 3. Addas F, Yan S, Hadjipavlou M, Gonsalves M, Sabbagh S. Testicular Rupture or Testicular Fracture? A Case Report and Literature Review. Case Rep Urol. 2018;2018:1323780. doi:10.1155/2018/1323780 - Pubmed
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