[63] Traumatic testicular displacement and torsion: A case report and literature review

Objective: To report on a case of traumatic testicular displacement (TTD) and torsion, which is a rare consequence of pelvic trauma. Methods: A 34-year-old motorcycle rider who presented immediately following a head-on collision with a car. His past surgical history included bilateral inguinal varic...

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Autores principales:	Jaffar Hussain, Majd Al-Kabbani, Abdullatif Al-Terki, Tariq Al-Shaiji, Ahmed El-Nahas
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2018
Materias:	Diseases of the genitourinary system. Urology RC870-923
Acceso en línea:	https://doaj.org/article/39e771d01cec40f1bae0b0f9e594fe5d
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spelling	oai:doaj.org-article:39e771d01cec40f1bae0b0f9e594fe5d2021-12-02T12:36:25Z[63] Traumatic testicular displacement and torsion: A case report and literature review2090-598X10.1016/j.aju.2018.10.016https://doaj.org/article/39e771d01cec40f1bae0b0f9e594fe5d2018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301104https://doaj.org/toc/2090-598XObjective: To report on a case of traumatic testicular displacement (TTD) and torsion, which is a rare consequence of pelvic trauma. Methods: A 34-year-old motorcycle rider who presented immediately following a head-on collision with a car. His past surgical history included bilateral inguinal varicocoele repair. The patient recalled that his genitals collided with a part of the motorcycle before coming off the vehicle. He complained of left-sided groin pain and was found to have an empty left hemi-scrotum, a tender palpable lump in the left suprapubic region, and bruising in the area. A contrast-enhanced computed tomography (CT) scan revealed an empty scrotum and an ovoid structure measuring 5 × 3 × 4 cm in the subcutaneous tissue with an adjacent spermatic cord and surrounding fat stranding. He was immediately transferred to the operating theatre for surgical exploration of the lower abdomen. Results: After anaesthesia, the testis was repositioned into the scrotum and then we proceeded with exploration of the scrotum that revealed a torted left testicle. De-torsion, warm fomentation and orchidopexy of a viable left testicle was performed. He made an uneventful recovery. He was then transferred to a tertiary trauma centre for further management of his injuries. TTD is defined as migration of one or both testicle outside the scrotum. The most common mechanism of trauma is a rapid deceleration straddle injury against a motorcycle fuel tank. Predisposing factors include inguinal hernia repair, wide external inguinal ring, and atrophic testes. Radiological examinations of choice include colour-flow Doppler ultrasonography and CT scans of the abdomen and pelvis. Management consists of either closed reduction of the testicle or surgical exploration. Conclusion: Early diagnosis and management of TTD is imperative to preserve the displaced testicle.Jaffar HussainMajd Al-KabbaniAbdullatif Al-TerkiTariq Al-ShaijiAhmed El-NahasTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S31- (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the genitourinary system. Urology RC870-923
spellingShingle	Diseases of the genitourinary system. Urology RC870-923 Jaffar Hussain Majd Al-Kabbani Abdullatif Al-Terki Tariq Al-Shaiji Ahmed El-Nahas [63] Traumatic testicular displacement and torsion: A case report and literature review
description	Objective: To report on a case of traumatic testicular displacement (TTD) and torsion, which is a rare consequence of pelvic trauma. Methods: A 34-year-old motorcycle rider who presented immediately following a head-on collision with a car. His past surgical history included bilateral inguinal varicocoele repair. The patient recalled that his genitals collided with a part of the motorcycle before coming off the vehicle. He complained of left-sided groin pain and was found to have an empty left hemi-scrotum, a tender palpable lump in the left suprapubic region, and bruising in the area. A contrast-enhanced computed tomography (CT) scan revealed an empty scrotum and an ovoid structure measuring 5 × 3 × 4 cm in the subcutaneous tissue with an adjacent spermatic cord and surrounding fat stranding. He was immediately transferred to the operating theatre for surgical exploration of the lower abdomen. Results: After anaesthesia, the testis was repositioned into the scrotum and then we proceeded with exploration of the scrotum that revealed a torted left testicle. De-torsion, warm fomentation and orchidopexy of a viable left testicle was performed. He made an uneventful recovery. He was then transferred to a tertiary trauma centre for further management of his injuries. TTD is defined as migration of one or both testicle outside the scrotum. The most common mechanism of trauma is a rapid deceleration straddle injury against a motorcycle fuel tank. Predisposing factors include inguinal hernia repair, wide external inguinal ring, and atrophic testes. Radiological examinations of choice include colour-flow Doppler ultrasonography and CT scans of the abdomen and pelvis. Management consists of either closed reduction of the testicle or surgical exploration. Conclusion: Early diagnosis and management of TTD is imperative to preserve the displaced testicle.
format	article
author	Jaffar Hussain Majd Al-Kabbani Abdullatif Al-Terki Tariq Al-Shaiji Ahmed El-Nahas
author_facet	Jaffar Hussain Majd Al-Kabbani Abdullatif Al-Terki Tariq Al-Shaiji Ahmed El-Nahas
author_sort	Jaffar Hussain
title	[63] Traumatic testicular displacement and torsion: A case report and literature review
title_short	[63] Traumatic testicular displacement and torsion: A case report and literature review
title_full	[63] Traumatic testicular displacement and torsion: A case report and literature review
title_fullStr	[63] Traumatic testicular displacement and torsion: A case report and literature review
title_full_unstemmed	[63] Traumatic testicular displacement and torsion: A case report and literature review
title_sort	[63] traumatic testicular displacement and torsion: a case report and literature review
publisher	Taylor & Francis Group
publishDate	2018
url	https://doaj.org/article/39e771d01cec40f1bae0b0f9e594fe5d
work_keys_str_mv	AT jaffarhussain 63traumatictesticulardisplacementandtorsionacasereportandliteraturereview AT majdalkabbani 63traumatictesticulardisplacementandtorsionacasereportandliteraturereview AT abdullatifalterki 63traumatictesticulardisplacementandtorsionacasereportandliteraturereview AT tariqalshaiji 63traumatictesticulardisplacementandtorsionacasereportandliteraturereview AT ahmedelnahas 63traumatictesticulardisplacementandtorsionacasereportandliteraturereview
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[63] Traumatic testicular displacement and torsion: A case report and literature review

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