Bilateral traumatic testicular dislocation--a case report.
Traumatic testicular dislocation is a rare complication of blunt scrotal trauma. It is usually related to straddle injuries from motorcycle accidents and is commonly accompanied by scrotal hematoma and pelvic fracture. Bilateral dislocation of the testes is relatively rare. We report a rare case of bilateral testicular dislocation after a motorcycle accident. Abdominal computed tomography (CT) and color Doppler ultrasonography are helpful in locating the dislocated testicle and detecting its blood flow. Closed reduction of a superficial testicular dislocation may be attempted first. After appropriate physical examination and image study, emergent surgical reduction should be considered because of the high incidence of failure of closed reduction. We recommend that emergency physicians should be aware of potential testicular injury among trauma cases. Early reduction and early urological consultation are also recommended because of histological changes seen in dislocated testis.
Tsai
Hsiu-Nan
HN
Department of Urology, Hsiao-Kang Hospital and Kaohsiung Medical University, No. 100, Shih-Chuan 1st Rd., Kaohsiung 807, Taiwan.
Wu
Wen-Jeng
WJ
Huang
Shu-Pin
SP
Chen
Chung-Chin
CC
Wang
Chii-Jye
CJ
Chou
Yii-Her
YH
Huang
Chun-Hsiung
CH
D000063:Accidents, Traffic; D000328:Adult; D006801:Humans; D008297:Male; D009049:Motorcycles; D013737:Testis / Q000293:injuries*