Abstract
Traumatic dislocation of the testicles was first reported during crush injury but is now more commonly related to motor vehicle accidents. Approximately 55 cases had been reported by 2003. Virtually no papers discuss the role of CT in the rapid diagnosis of penoscrotal trauma, although most polytrauma or “pelvic trauma” patients are rapidly evaluated by CT in the emergency room setting. As more patients with pelvic trauma are triaged and evaluated using CT scanners with greater multidetector capability, more patients will be seen with testicular injury. It is important for the emergency physicians, radiologists, and traumatologists not to overlook unsuspected cases of penoscrotal injury which are typically initially evaluated by history, physical exam, and ultrasound. We describe a recent case of initial diagnosis of bilateral testicular dislocation from blunt trauma using modern multidetector CT imaging technique.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Claubry E (1818) Observation sur une retrocession subite des deux testicules dans l’abdomen, a suite d’une violente compression de la partie inferieure de la paroi abdominale par une roue de charette. J Gen Med Chir Pharmacol 64:325
Ihama Y, Fuke C, Miyazaki T (2007) A two-rider motorcycle accident involving injuries around groin area in both the driver and the passenger. Leg Med (Tokyo) 9(5):274–7. Epub 2007 Jun 11
Tsai HN, Wu WJ, Huang SP, et al. (2002) Bilateral traumatic testicular dislocation—a case report. Kaohsiung J Med Sci 18(2):95–98
Bromberg W, Wong C, Kurek S, et al. (2003) Traumatic bilateral testicular dislocation. J Trauma 54(5):1009–1011
Munter DW, Faleski E (1989) Blunt scrotal trauma: ED evaluation and management. Am J Emerg Med 7:227–234
Toranji S, Barbaric Z (1994) Testicular dislocation. Abdom Imaging 19:379–380
Anderson KA, McAninch JW, Jeffrey RB, et al. (1983) Ultrasonography for the diagnosis and staging of blunt scrotal trauma. J Urol 130(5):933–935
Ko SF, Ng SH, Wan YL, et al. (2004) Testicular dislocation: an uncommon and easily overlooked complication of blunt abdominal trauma. Ann Emerg Med 43(3):371
Chandra RV, Dowling RJ, Ulubasoglu M, et al. (2007) Rational approach to diagnosis and management of blunt scrotal trauma. Urology 70(2):230–234
Jankowski JT, Spirnak JP (2006) Current recommendations for imaging in the management of urologic traumas. Urol Clin North Am 33(3):365–376
Shafer MA, Pantell RH, Schachter J (1999) Is the routine pelvic examination needed with the advent of urine-based screening for sexually transmitted diseases? Arch Pediatr Adolesc Med 153(2):119–125
Edson M, Meek JM (1979) Bilateral testicular dislocation with unilateral rupture. J Urol 122(3):419–420
Kochakarn W, Choonhaklai V, Hotrapawanond P, et al. (2000) Traumatic testicular dislocation: a review of 36 cases. J Med Assoc Thai 83:208–212
Buckley JC, McAninch JW (2006) Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 175(1):175–178
Tan PK, Lee YM (1998) Traumatic dislocation of the testes. Ann Acad Med Singapore 27(2):269–271
Mikami O, Fujita I, Doi T, et al. (1992) Traumatic dislocation of the testis. Hinyokika Kiyo 38(9):1075–1078
Yoshimura K, Okubo K, Ichioka K, et al. (2002) Restoration of spermatogenesis by orchiopexy 13 years after bilateral traumatic testicular dislocation. J Urol 167:649–650
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Ezra, N., Afari, A. & Wong, J. Pelvic and scrotal trauma: CT and triage of patients. Abdom Imaging 34, 541–544 (2009). https://doi.org/10.1007/s00261-008-9417-3
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00261-008-9417-3