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Rare disease
Case report
Managing traumatic testicular dislocations: what we know after two centuries
  1. Sentilnathan Subramaniam1,
  2. Muhammad Khairil Ab Khalil2,
  3. Jasiah Zakaria2 and
  4. Firdaus Hayati1,3
  1. 1Department of General Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia
  2. 2Department of Surgery, Hospital Tuanku Ja'afar Seremban, Ministry of Health Malaysia, Seremban, Negeri Sembilan, Malaysia
  3. 3Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  1. Correspondence to Dr Firdaus Hayati; firdaushayati{at}gmail.com; m_firdaus{at}ums.edu.my

Abstract

Traumatic testicular dislocation (TTD) is a rare consequence of blunt scrotal trauma. A 21-year old gentleman presented with inguinal pain following a motorcycle accident and physical examination revealed absence of both testes within a well-formed scrotal sac with bilateral inguinal swellings. Ultrasonography confirmed viability and location of the testes at the superficial inguinal pouch. He underwent emergent surgical reduction with orchidopexy and was discharged the next day. No evidence of testicular dysfunction or atrophy was noted at follow-up. We reviewed reports of TTDs reported in English over the last two centuries and discuss its occurrence, evolution and management.

  • general surgery
  • urological surgery

https://doi.org/10.1136/bcr-2020-236801

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    Footnotes

    • Contributors SS: involvement in managing the patient, manuscript preparation and literature search. MKAK: involvement in managing the patient. JZ: involvement in managing the patient. FH: final review.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.