Testicular rupture

Case contributed by Dr Matthew Lukies

Presentation

Kicked in the scrotum during sports game. Right scrotal tenderness on examination.

Patient Data

Age: 20 years
Gender: Male
Ultrasound
  • Irregular contour and heterogeneous echogenicity of the right testis 
  • Apparent herniation of testicular parenchyma through a defect in the superior pole tunica albuginea
  • Decreased doppler flow to the herniated superior pole testis
  • Small volume of right scrotal haematoma
  • Left scrotum is unremarkable

Case Discussion

The patient in this case proceeded to surgical exploration, where the diagnosis of right testicular rupture was confirmed. Debridement and repair of the tunica albuginea were performed, and the testis appeared viable. Histopathology of the debrided tissue demonstrated extensive interstitial haemorrhage.

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Case information

rID: 52552
Case created: 12th Apr 2017
Last edited: 30th May 2017
System: Urogenital
Inclusion in quiz mode: Included

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