Blalock Matthew G, Flugga Kaitlyn M, Reiswig Benjamin, Joshi Bhavesh
Department of Sports Medicine, Edward Via College of Osteopathic Medicine, Auburn, USA.
Cureus. 2025 Jun 11;17(6):e85769. doi: 10.7759/cureus.85769. eCollection 2025 Jun.
Testicular and scrotal trauma is most commonly divided into two classifications based on the mechanism of action, blunt and penetrating, with penetrating trauma being reported more frequently. Blunt testicular injury is often due to motor vehicle accidents or contact sports where scrotal protection is not regularly worn, such as basketball or soccer. Several hours after initially being struck in the left testicle by a fiberglass pole while vaulting, a 23-year-old man presented to the emergency department for testicular pain and swelling. Scrotal edema and ecchymosis were found on physical examination. Ultrasound findings showed a hydrocele with debris and structural changes within the testicle, suggestive of a testicular rupture. The patient was taken to the operating room for decompression of the hydrocele and further exploration. A testicular rupture was confirmed and repaired with partial resection of the seminiferous tubules. A follow-up appointment two weeks after surgery showed a well-healed incision without complication, and a semen analysis was completed at six weeks with normal results. This case exhibits a unique mechanism of action for testicular rupture due to the lack of track-and-field-related trauma reported within the literature. Rapid diagnostic and surgical treatment were vital in this case to reduce the risk of fertility concerns and orchiectomy. Emergency medical providers must have a high index of suspicion for testicular rupture, given the severe complications if such a diagnosis is missed despite unusual mechanisms of injury.
睾丸和阴囊创伤最常根据作用机制分为钝性和穿透性两类，其中穿透性创伤的报道更为常见。钝性睾丸损伤通常由于机动车事故或在篮球或足球等未经常佩戴阴囊保护装备的接触性运动中发生。一名23岁男性在跳马时被玻璃纤维杆击中左侧睾丸数小时后，因睾丸疼痛和肿胀前往急诊科就诊。体格检查发现阴囊水肿和瘀斑。超声检查结果显示睾丸内有鞘膜积液伴碎屑和结构改变，提示睾丸破裂。患者被送往手术室进行鞘膜积液减压和进一步探查。确诊为睾丸破裂，并进行了曲细精管部分切除修复术。术后两周的随访预约显示切口愈合良好，无并发症，六周时完成精液分析，结果正常。该病例展示了一种独特的睾丸破裂作用机制，因为文献中未报道与田径相关的创伤。在这种情况下，快速诊断和手术治疗对于降低生育问题和睾丸切除风险至关重要。鉴于即使损伤机制不寻常但如果漏诊此类诊断会导致严重并发症，急诊医疗人员必须对睾丸破裂有高度的怀疑指数。
