Università degli Studi di Roma Tor Vergata, Roma, Italy
Facoltà di Medicina e Chirurgia, Università degli Studi di Roma Tor Vergata, Roma, Italy.
BMJ Case Rep. 2023 Sep 26;16(9):e254530. doi: 10.1136/bcr-2022-254530.
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.
阴囊创伤后睾丸脱位至腹部是一种罕见且有时未被识别的事件。早期发现和及时处理可减少可能的并发症，包括生育能力丧失、内分泌功能障碍和未来恶性肿瘤的风险。我们报告了 1 例男子因摩托车事故导致右侧睾丸外伤性脱位至腹部的病例。巨大的阴囊血肿不允许进行充分的体格检查。此外，在多发创伤的临床管理过程中，主要关注点是活动性动脉出血、多处骨盆骨折和下尿路完整性的临床检查。因此，睾丸脱位的诊断和手术处理被延迟。患者接受了腹部-腹股沟手术探查、血肿清除、右侧睾丸定位和右侧睾丸固定术。6 个月后，患者的右侧睾丸在超声评估时体积、质地和生理回声均正常。3 个月后，激素评估和精液分析正常。
