Related Experiment Video
Updated: Aug 22, 2025

07:18
Focused Assessment with Sonography for Trauma FAST Exam: Image Acquisition
Published on: September 22, 2023
6.6K
A Blunt Scrotal Trauma With More Than Meets the Eye
Jennifer Rosen1, Camila Munoz2, Carmen Tong1
1Department of Urology, University of Alabama at Birmingham, Birmingham, AL.
Urology
|November 14, 2022
Summary
Extrarenal Wilms' tumors (ERWT) are rare cancers found outside the kidney. This case report details a rare instance of ERWT in the paratesticular region, discovered after scrotal trauma.
Area of Science:
- Oncology
- Pediatric Oncology
- Urologic Oncology
Background:
- Extrarenal Wilms' tumors (ERWT) represent a rare subset of Wilms' tumors, accounting for only 0.5%-1% of all cases.
- First described in 1961, ERWT most commonly arise in extrarenal locations such as the retroperitoneum, inguinal region, uterus, and ovaries.
Observation:
- A patient presented with symptoms of blunt scrotal trauma.
- Diagnostic evaluation following the trauma revealed a paratesticular mass.
Findings:
- The paratesticular mass was diagnosed as a primary Extrarenal Wilms' tumor.
- This represents an exceptionally rare presentation of ERWT in the paratesticular region.
Implications:
- This case highlights the importance of considering rare diagnoses, like paratesticular ERWT, in patients presenting with scrotal abnormalities.
- Further investigation into the etiology and optimal management of paratesticular ERWT may be warranted.
Related Concept Videos
Flail Chest-II
224
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
224
Assessment of the Abdomen II: Percussion
505
Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
Percussion
Percussion is an essential...
Percussion
Percussion is an essential...
505
Testes: Gross Anatomy
2.8K
The testes, also known as testicles, are the male gonads. They are housed within the scrotum, a sac-like structure located beneath the penis. The scrotum's primary role is to regulate the temperature of the testes, which is crucial for sperm production.
Each testis is surrounded by the tunica albuginea, a dense connective tissue layer that provides structural support and protection. This layer is covered by an outer serous membrane called the tunica vaginalis, which helps reduce friction...
Each testis is surrounded by the tunica albuginea, a dense connective tissue layer that provides structural support and protection. This layer is covered by an outer serous membrane called the tunica vaginalis, which helps reduce friction...
2.8K
Nursing Assessment of the Genitourinary System II: Inspection and Palpation
192
The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
192
Assessment of the Rectum and Anus
345
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
345
Flail Chest-I
257
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
257

