Mar 01, 2007 trauma often may result in hematoma, hydrocele, hematocele, testicular fracture, or testicular rupture. Testicular trauma may lead to groin pain that can result from nerve damage, causing electric, shooting pain. In a previous study testicular torsion, torsion of testicular appendages, and epididymitis were found to represent 94% of all final diagnoses in boys. If testicular rupture suspected, explore, evacuate clot and any necrotic. The condition is treated as an emergency because the preservation of the testicle and ultimately fertility is dependent on early diagnosis and treatment. The surgical approach varies with the type of trauma. Testicular trauma is the third mostcommon cause of acute scrotal pain and may result in various degree of damage to the testes.
Las lesiones testiculares vinculadas a traumatismo son variables e incluyen. Renal injuries ri account for 15% of all trauma and in 10% of all abdominal trauma. Blunt scrotal trauma is typically unilateral and involves compression of the scrotal contents. Testicular rupture can cause blood to leak into the scrotum and in severe cases surgery is needed to repair the rupture and to save the testicle. Etiologically we can categorize testicular trauma in blunt or. In a followup ultrasonographic study of unilateral testicular trauma, cross and colleagues found that 5 of the 10 patients developed atrophy of the injured testis, defined as a reduction in volume of more than 50% compared. Testicular rupture occurs in 50% of cases of direct blunt scrotal trauma. Testicular torsion is a twisting of the spermatic cord and its contents and is a surgical emergency affecting 3. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Testicular trauma refers to anytime a testicle is hurt by force. When the testicles tough cover is torn or shattered, blood leaks from the wound.
Intense compression of the testis against the inferior pubic ramus or. Testicular trauma can be blunt or penetrating in cause. Sep 18, 2019 testicular atrophy is most likely the result of the original testicular trauma rather than efforts to salvage the testis. There are several different types of injuries possible in the testicles, and treatment methods vary between these and the severity of the injury. The timely diagnosis of rupture, based on a us finding of discontinuity of the echogenic tunica albuginea, is critical because emergent surgery results in salvage of the testis in 80%90% of rupture cases. In both cases, discrete external signs of scrotal trauma. Testicular rupture, like testicular torsion and other serious injuries to the. Testicular trauma can occur with multiple different mechanisms, but blunt trauma is the most common in athletes. Traumatismo escrotal y testicular etiologia trauma contuso. Buckley and mcaninch, in their series of 65 patients with blunt scrotal trauma, demonstrated a sensitivity of 100% and a specificity of 93.
Clinical evaluation of the painful, swollen scrotum can be difficult, especially when trying to delineate between pathology requiring surgical intervention versus conservative management. Clinical hematoceles that are expanding or of considerable size eg. Early scrotal exploration in cases of testicular rupture is thought to be associated with improved testicular salvage rates. A reducao manual ou cirurgica do testiculo deslocado. Testicular trauma, male infertility and sperm health mens. When this happens there is a loss of blood supply to the ipsilateral testicle 1. Um traumatismo nao penetrante do escroto pode causar deslocacao testicular, rotura. Testicular rupture and testicular ischemiainfarct are two severe complications which need to be ruled out. May, 2015 however, isolated epididymal injury without accompanying scrotal or testicular injury is exceptionally rare. Urologia practica 2011 traumatismo escrotal y testicular. Testicular trauma in most cases, the injury is similar to other soft tissue injuries with associated pain and swelling. The most common mechanism of injury in athletes is from direct impact from falls, kicks, ball contact, and impact on vehicles or bicycles. Operative indications for blunt trauma are as follows.
In this case, the orchidopexy was performed after five months of the traumatic event, which shows a late treatment with good result. We present a unique case of blunt scrotal trauma causing bilateral testes rupture in. Scribd is the worlds largest social reading and publishing site. Testicular torsion is defined as the torsion of the spermatic cord structures. Testicular trauma is when a testicle is hurt by force. Acquired cryptorchidism is a rare clinical presentation, with few reports in the literature and usually due to scrotal trauma. Trauma to the testicle or scrotum can harm any of its contents. Testicular rupture is a rare type of testicular trauma. Types of injuries include blunt, penetrating and degloving. Feb 21, 2015 provided to youtube by the orchard enterprises testicular trauma regurgitate hatefilled vengeance. Acute scrotal swelling in children is often associated with testicular torsion, testicular rupture, hernia, epididymitis and direct testicular trauma, although acute scrotum most frequently occurs without a precipitating factor. This makes it easier for the testes to be struck, hit, kicked or crushed, which occurs most often during contact sports. Testicular pain, scrotal hematoma, soft tissue injuries depending on the etiology of testicular trauma.
Traumatismos genitourinarios iii lesion testiculo free. Sciatica results from nerve impingement in the lumbar spine. It consists of evaluation of the patients injury or severity of illness, immediate treatment of lifethreatening problems when possible, and activation of the local. Perezarbej ja, rosa arias j, aranda lassa jm, villaroya rodriguez s, gil fabra j, romero aguirre f. Bilateral testes fractures from blunt scrotal trauma sciencedirect. Testicular displacement is a rare clinical presentation of blunt scrotal injury that may take place in road traffic accidents involving motorcycle occupants. Sep 18, 2019 the american urological association recommends early scrotal exploration in all patients suspected of testicular rupture to prevent testicular loss, infection, chronic pain, infertility, and altered selfimage. Genitourinary gu injury is present in approximately 10.
Pdf management of testicular rupture after blunt trauma in children. Because the testes are located within the scrotum, which hangs outside of the body, they do not have the protection of muscles and bones. The lesions were testicular fractures 15, intratesticular hematomas 8, benign testicular blunt traumas 6, spermatic cord hematomas 6, epididymal hematomas 6, isolated hematoceles 3. However, severe trauma may lead to a twisting of the testes or testicular rupture, both of which require immediate medical attention. Trauma often may result in hematoma, hydrocele, hematocele, testicular fracture, or testicular rupture. This pool of blood stretches the scrotum until its tense, and can lead to infection.
Testicular trauma resulting in shock and systemic inflammatory. Testicular rupture can occur when the testicle receives a direct blow or is squeezed against the hard bones of the pelvis. A yearold boy with a history of testicular trauma presented with severe scrotal swelling and shock. First aid is the term used to describe the initial assistance given to a sick or injured person before professional medical help arrives.
Initial diagnostic scrotal ultrasonography of the right testicle demonstrating testicular rupture. A rotura testicular ocorre em aproximadamente 50% dos traumatismos nao penetrantes directos do escroto. Pdf torsion of the testis, also referred to as torsion of the spermatic cord, is a subject of debate among physicians and surgeons. However there is a type of testicular trauma that is called testicular rupture. Testicular atrophy is most likely the result of the original testicular trauma rather than efforts to salvage the testis. Management of testicular trauma depends on testicular integrity and perfusion. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. Heres a look at the types, symptoms, causes and prevention methods against testicular trauma. Pdf torsion of the testis is the most common urological emergency and should be included in the differential diagnosis of. We are presenting two cases of motorcycle occupant fatalities, 21 and 24 years of age, where testicular displacement and other signs of groin trauma have been determined. In this case, the orchidopexy was performed after five months of the traumatic event, which shows a. Pdf criptorquidismo adquirido por traumatismo escrotal.
Answers from doctors on testicular trauma treatment. Testicular trauma is an injury to one or both testicles. Diagnostic workup in testicular trauma ultrasonography of the testes. Diagnosis and management of testicular injuries longdom. Torsion testicular trastornos urogenitales manual msd version. Traumatismo testicular cerrado tratamiento inicial. This case study examines the presentation and possible role of cytokines in the development of systemic inflammatory response syndrome in a child with acute traumatic epididymitis. Acute scrotal swelling in children is often associated with testicular torsion, testicular rupture, hernia, epididymitis and direct testicular trauma 1. Isolated epididymal injury after blunt scrotal trauma from. This can happen when the testicle receives a forceful direct blow or when the testicle is crushed against the pubic bone the bone that forms the front of the pelvis, causing blood to leak into the scrotum. Ca testiculo cancer metastasis free 30day trial scribd. Caracterizado por dor intensa local irradiada, as vezes. Important is the localization of the hematoma, which can be scrotal, in the cavum serosum testis or within the testicular parenchyma fig.
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