Presentation
Direct blunt trauma to scrotum.
Patient Data
Age: 10-15 years
Gender: Male
From the case:
Testicular trauma - pediatric
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Right testis: Enlarged. Heterogeneous echotexture compatible with hematoma. Medially, there is a hypoechoic cleft compatible with a fracture. No Doppler signal present within testicular parenchyma medial to this cleft. At the superior aspect, the tunica albuginea is not well identified and capsular rupture is suspected.
Left testis: Normal examination.
Case Discussion
The patient proceeded to urgent scrotal exploration, which confirmed the imaging findings and underwent scrotal repair. A viable testis was present on follow-up ultrasound (not shown) six weeks later.
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