Department of Radiology and Biomedical Imaging, University of California San Francisco, 505 Parnassus Ave, M-396, San Francisco, CA 94143, USA.
Department of Radiology and Biomedical Imaging, University of California San Francisco, 505 Parnassus Ave, M-396, San Francisco, CA 94143, USA.
Clin Imaging. 2021 Mar;71:13-16. doi: 10.1016/j.clinimag.2020.10.042. Epub 2020 Nov 4.
Traumatic testicular rupture is a rare yet serious condition most commonly seen in penetrating trauma victims (e.g. gunshot wounds or motorcycle collisions) that requires immediate surgical management given its potential complications of hypogonadism and infertility. While ultrasound is the most established modality for diagnosing testicular rupture, trauma patients are usually first evaluated with a trauma protocol computed tomography (CT) exam including the chest, abdomen, and pelvis upon presentation, so it is important to recognize CT findings of testicular injury. We present a novel case in which the suspicion for testicular injury was initially raised based upon CT findings of scrotal hematoma/fluid. These findings were then further characterized with ultrasound and confirmed at surgery. In this case, we provide intraoperative imaging that corresponds clearly to findings seen on both CT and ultrasound.
创伤性睾丸破裂是一种罕见但严重的疾病，最常见于穿透性创伤受害者（例如枪伤或摩托车事故），由于其潜在的性腺功能减退和不育症并发症，需要立即进行手术治疗。虽然超声是诊断睾丸破裂最成熟的方法，但创伤患者通常在就诊时首先通过胸部、腹部和骨盆的创伤协议计算机断层扫描 (CT) 检查进行评估，因此识别睾丸损伤的 CT 发现非常重要。我们提出了一个新的病例，最初根据阴囊血肿/积液的 CT 发现怀疑睾丸损伤。这些发现随后通过超声进一步特征化，并在手术中得到证实。在这个病例中，我们提供了与 CT 和超声所见相符的术中影像学表现。
