Department of Urology, College of Medicine and Life Sciences, The University of Toledo, Toledo, OH.
Department of Urology, College of Medicine and Life Sciences, The University of Toledo, Toledo, OH.
Urology. 2023 Sep;179:164-165. doi: 10.1016/j.urology.2023.05.029. Epub 2023 Jun 16.
Testicular rupture is a rare but serious condition which requires immediate and emergent surgical intervention in order to preserve fertility and maintain gonadal hormone function. We present here a case of a 16-year-old male who suffered a shattered right testicle following gunshot wound. Additionally, the left cord structures were also hit with possible compromise of the left testicle. He underwent scrotal exploration with reconstruction of the right tunica albuginea with a tunica vaginalis graft. The right testicle was found to be viable within 2months postoperatively with normal arterial and venous flow seen on Doppler scrotal ultrasound. We propose that tunica vaginalis can be used successfully as a graft to manage testicular rupture.
睾丸破裂是一种罕见但严重的疾病，需要立即进行紧急外科手术干预，以保护生育能力和维持性腺激素功能。我们在此介绍一例 16 岁男性患者，他因枪伤导致右侧睾丸破裂。此外，左侧精索结构也受到影响，可能导致左侧睾丸受损。他接受了阴囊探查术，用鞘膜移植物重建了右侧白膜。术后 2 个月，右侧睾丸被发现仍有活力，多普勒阴囊超声显示正常的动脉和静脉血流。我们提出，鞘膜可以成功地用作移植物来治疗睾丸破裂。
