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Trans-scrotal intra-abdominal injuries: two case reports
1Department of Surgery, British Columbia Children's Hospital, Vancouver.
Canadian Journal of Surgery. Journal Canadien De Chirurgie
|August 1, 1995
Summary
Penetrating scrotal injuries, though rare, can cause serious abdominal damage. Prompt surgical exploration, foreign body removal, and antibiotic treatment are crucial for successful recovery and preventing complications.
Area of Science:
- Trauma Surgery
- Urology
- Emergency Medicine
Background:
- Penetrating scrotal injuries are uncommon but can be associated with significant intra-abdominal trauma.
- Prompt recognition and management are essential to prevent complications.
Observation:
- Two cases are presented: a 15-year-old with a wooden shard penetrating the scrotum, abdominal wall, and liver; and a 45-year-old with a broom handle penetrating the scrotum, rectus sheath, and gastric walls.
Findings:
- Both patients underwent surgical exploration, debridement, repair, and antibiotic therapy, achieving successful recovery.
- Recommendations include inspecting the testicle and cord, thorough lavage and debridement, foreign body removal, and exploring the entire injury tract.
Implications:
- Penetrating scrotal injuries necessitate comprehensive evaluation for associated abdominal trauma.
- Adherence to recommended surgical protocols and perioperative antibiotics improves patient outcomes.