Ultrasound Diagnosis of Injuries to the Organs of the Scrotum during a Mine Blast Wound. Clinical Observation

During today's armed conflicts, there has been a tendency to the increased frequency of injuries to the scrotum, which account for about 10 % of all injuries to the genitourinary system. Inaccurate and untimely diagnosis of damage to this area leads to erroneous treatment tactics, which can subsequently cause persistent pain syndrome, erectile dysfunction, and also lead to an increase in the number of infertile men. The article discusses a clinical case of the use of ultrasound research in the diagnosis of damage to the scrotal organs in a patient with a mine blast wound (MBW). Objective. Using the example of a clinical case, demonstrate the capabilities of the ultrasound method in visualizing structural changes in the organs of the scrotum during MBW, describe the characteristic ultrasound signs of damage to the scrotum and its organs in this type of injury. Materials and methods. A clinical case of a victim with a mine blast wound to the scrotum is presented. The patient underwent ultrasound and CT with intravenous contrast. The results of radiological research methods were compared with data obtained during surgery. Results. An ultrasound examination of the victim revealed ruptures of the tunica albuginea of both testicles (in the left testicle with prominence of testicular tissue into the scrotal cavity), hematomas of both testicles, intravaginal hematomas, foreign bodies of the scrotum and penis. The data obtained from ultrasound were confirmed intraoperatively. Conclusion. Ultrasound scanning is a reliable method for diagnosing combat wounds of the scrotum, which allows you to accurately visualize such injuries as hematomas of the testicle and surrounding soft tissues, rupture of the tunica albuginea of the testicle, foreign bodies of the scrotum, determine the presence and direction of the wound channel, the degree of vascularization of damaged organs, thereby assess the severity of injuries and outline the correct plan for further treatment of the victim.