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Case Reports: Unusual presentation of more common disease/injury
Traumatic testicular dislocation in the abdomen: diagnosis and management
  1. Gaia Colalillo1,
  2. Simone Pletto2,
  3. Mario Laudazi1 and
  4. Anastasios D Asimakopoulos3
  1. 1Università degli Studi di Roma Tor Vergata, Roma, Italy
  2. 2Facoltà di Medicina e Chirurgia, Università degli Studi di Roma Tor Vergata, Roma, Italy
  3. 3Fondazione PTV Policlinico Tor Vergata, Roma, Italy
  1. Correspondence to Dr Gaia Colalillo; gaia_colalillo{at}hotmail.it

Abstract

Testicular dislocation in the abdomen after scrotal trauma is a rare and sometimes unrecognised event.

Early detection and timely management reduce possible complications which include the risk of fertility loss, endocrine dysfunction, and future malignancy.

We present the case of a man who suffered a traumatic dislocation of the right testis in the abdomen after a motorcycle crash. The large scrotal haematoma did not permit adequate physical examination. Furthermore, during the clinical management of the polytrauma, the main focus was on active arterial bleeding, multiple pelvic fractures and clinical investigation of the integrity of the lower urinary tract. Therefore, the diagnosis and surgical management of the testicular dislocation were delayed.

The patient underwent abdominal-inguinal surgical exploration, haematoma evacuation, identification of the right testis and right orchidopexy.

After 6 months, the right testis of the patient is of regular volume, consistency and physiologic echogenicity on ultrasound evaluation.

Hormonal evaluation and semen analysis were normal after 3 months.

  • ultrasonography
  • urological surgery
  • radiology

https://doi.org/10.1136/bcr-2022-254530

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    Footnotes

    • Contributors GC, AA, ML and SP were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms and critical revision for important intellectual content. All authors gave final approval of the manuscript.

    • 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.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

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