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Traumatic dislocation of the testis.

H Yagi1, M Igawa, H Shiina

  • 1Department of Urology, Shimane Medical University, Izumo, Japan.

Urologia Internationalis
|October 26, 1999
PubMed
Summary
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A rare case of traumatic testicular dislocation into the thigh occurred after a fishing boat accident. Surgical repair successfully repositioned the testis, highlighting the rarity of this specific injury.

Area of Science:

  • Urology
  • Trauma Surgery
  • Diagnostic Imaging

Background:

  • Testicular dislocation is a rare injury, often associated with significant trauma.
  • Prompt diagnosis and management are crucial for preserving testicular function.

Observation:

  • A patient presented with an empty left hemiscrotum and a painful thigh mass post-fishing boat accident.
  • Sonography revealed a normal-appearing testis, while MRI localized the mass to the thigh's subcutaneous tissue.
  • Surgical exploration confirmed the left testis dislocated within the thigh's subcutaneous tissue, with mild spermatic cord torsion.

Findings:

  • Successful surgical repositioning of the dislocated left testis into the hemiscrotum.
  • Confirmation of traumatic dislocation into the superficial crus, a previously reported rare occurrence.

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Implications:

  • This case underscores the importance of thorough physical examination and advanced imaging in diagnosing extragenital testicular injuries.
  • Highlights the need for awareness among clinicians regarding rare presentations of scrotal and testicular trauma.
  • Emphasizes the successful surgical outcome achievable even with significant displacement of the testis.