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Background
- Most commonly result of blunt trauma
- Typically MVA or sports related inury
Clinical Features
- Testicular pain
- Scrotal swelling
- Scrotal hematoma or ecchymosis
Differential Diagnosis
Evaluation
Transverse images of the left testis demonstrate a hypoechoic linear area (arrow) indicative of a testicular fracture in a patient with history of scrotal trauma. Associated hematocele (curved arrow) is also noted.
Management
- Urologic consultation
- Emergent scrotal exploration and testicular repair[2]
- 90% of testicles salvaged when repaired < 72 hr from injury
- 45% salvage rate after 72 hours
Disposition
See Also
References
- ↑ Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.
- ↑ Chang, Andrew J.; Brandes, Steven B. (Aug 2013). "Advances in diagnosis and management of genital injuries". The Urologic Clinics of North America 40 (3): 427–438.