Zachariou Athanasios, Kaltsas Aris, Daligaros Grigorios, Giannakis Ioannis, Sofikitis Nikolaos
Urology Department, University of Ioannina, Ioannina, GRC.
Third Department of Urology, Attikon University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, GRC.
Cureus. 2025 Jul 4;17(7):e87265. doi: 10.7759/cureus.87265. eCollection 2025 Jul.
Testicular rupture is a rare but serious complication of blunt scrotal trauma, often linked to high-impact injuries. We report the case of a 20-year-old male with pelvic fractures and a high-riding right testis following a motorcycle accident. Imaging confirmed left testicular rupture with tunica albuginea disruption and hematoma. Surgery was performed eight hours post-injury, involving tunica repair and debridement. Follow-up ultrasound showed preserved arterial flow despite reduced testicular size. This case underscores the need for prompt urological assessment in blunt trauma cases, ensuring timely intervention to maximize testicular salvage and function.
睾丸破裂是钝性阴囊外伤罕见但严重的并发症，常与高能量损伤有关。我们报告一例20岁男性，在摩托车事故后出现骨盆骨折及右侧睾丸高位。影像学检查证实左侧睾丸破裂，白膜破裂并伴有血肿。受伤后8小时进行了手术，包括白膜修复和清创。随访超声显示尽管睾丸体积减小，但动脉血流得以保留。该病例强调了在钝性外伤病例中需要及时进行泌尿外科评估，确保及时干预以最大限度挽救睾丸及其功能。
