Bilateral traumatic dislocation of testes

Dislocation of the testis is a rare trauma. Its diagnosis depends on the awareness of the physician of its possible occurrence. It is usually a late finding during treatment of a motorcyclist brought to the emergency room because of multiple trauma injury and is sometimes demonstrated in the computerized tomographic (CT) scanning of the pelvis. We encountered bilateral dislocation of testes in a 40-year-old male due to motorcycle accident. Color Doppler ultrasonography was helpful in locating the dislocated testicle and detecting its blood flow. CT scans are often obtained to evaluate the associated injuries and to examine the area of the dislocated testis to help identify a rupture. Closed reduction is the initial treatment of choice. Immediate surgical intervention should also be performed when closed reduction has failed.