Testicular Dislocation After Unstable Pelvic Ring Injury.

Area of Science:

• Trauma Surgery
• Urology
• Radiology

Background:

• Pelvic ring injuries can lead to reproductive and genitourinary complications.
• Testicular dislocation is an uncommon but potentially morbid consequence of severe pelvic trauma.

Observation:

• A 29-year-old male sustained a pelvic ring injury (anteroposterior compression type II) after a motorcycle collision.
• Initial imaging revealed arterial extravasation managed by embolization, but no concurrent genitourinary injury was detected.
• Testicular dislocation was unexpectedly discovered during the surgical repair of the pelvic ring.

Findings:

• Successful intra-operative relocation of the dislocated testicle by urology.
• Pelvic ring healed without urogenital complications at follow-up.
• Highlights the rarity of testicular dislocation in pelvic ring injuries and the importance of intra-operative discovery.

Implications:

• Emphasizes the need for a multidisciplinary approach involving radiologists, traumatologists, and orthopedic surgeons to pre-operatively screen for testicular dislocation in severe pelvic trauma.
• Stresses the importance of intra-operative examination under anesthesia and meticulous surgical technique to prevent iatrogenic injury.
• Suggests areas for improvement in the identification and management of testicular dislocation associated with pelvic ring injuries.