Traumatic testicular rupture: Multimodality imaging with intraoperative correlate

Area of Science:

• Trauma surgery
• Diagnostic imaging
• Urologic surgery

Background:

• Traumatic testicular rupture is a rare but severe condition often resulting from penetrating trauma.
• Immediate surgical intervention is crucial to prevent complications like hypogonadism and infertility.
• Computed tomography (CT) is the initial imaging modality for trauma patients, making recognition of testicular injury findings on CT essential.

Purpose of the Study:

• To present a case of traumatic testicular rupture where initial suspicion was raised by computed tomography (CT) findings.
• To illustrate the utility of CT in identifying scrotal hematoma/fluid indicative of testicular injury.
• To correlate CT and ultrasound findings with intraoperative imaging in a case of testicular rupture.

Main Methods:

• Review of a case involving a patient with suspected traumatic testicular injury.
• Analysis of computed tomography (CT) scans for scrotal abnormalities.
• Correlation of CT findings with subsequent ultrasound and intraoperative imaging.

Main Results:

• Computed tomography (CT) revealed scrotal hematoma/fluid, raising suspicion for testicular rupture.
• Ultrasound further characterized the scrotal findings.
• Intraoperative imaging confirmed testicular rupture and correlated with pre-operative CT and ultrasound findings.

Conclusions:

• Computed tomography (CT) can provide initial clues for diagnosing traumatic testicular rupture in the trauma setting.
• A combination of CT, ultrasound, and surgical confirmation is vital for accurate diagnosis and management.
• Recognizing CT signs of scrotal injury is important for timely surgical intervention in testicular trauma.