Successful Salvage of a Ruptured Testis Following Severe Blunt Trauma in a Polytrauma Patient

Testicular rupture is a rare but serious complication of blunt scrotal trauma, often linked to high-impact injuries. We report the case of a 20-year-old male with pelvic fractures and a high-riding right testis following a motorcycle accident. Imaging confirmed left testicular rupture with tunica albuginea disruption and hematoma. Surgery was performed eight hours post-injury, involving tunica repair and debridement. Follow-up ultrasound showed preserved arterial flow despite reduced testicular size. This case underscores the need for prompt urological assessment in blunt trauma cases, ensuring timely intervention to maximize testicular salvage and function.

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Journal
Cureus
Published
2025-07-04
DOI
https://doi.org/10.7759/cureus.87265
Primary Topic
Testicular diseases and treatments
Type
article
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article

Successful Salvage of a Ruptured Testis Following Severe Blunt Trauma in a Polytrauma Patient

Nikolaos Sofikitis, Ioannis Giannakis, Athanasios Zachariou, Aris Kaltsas et al.
Cureus
Testicular diseases and treatments
article

Successful Salvage of a Ruptured Testis Following Severe Blunt Trauma in a Polytrauma Patient

Nikolaos Sofikitis, Ioannis Giannakis, Athanasios Zachariou, Aris Kaltsas, Grigorios Daligaros
article en

Abstract

Testicular rupture is a rare but serious complication of blunt scrotal trauma, often linked to high-impact injuries. We report the case of a 20-year-old male with pelvic fractures and a high-riding right testis following a motorcycle accident. Imaging confirmed left testicular rupture with tunica albuginea disruption and hematoma. Surgery was performed eight hours post-injury, involving tunica repair and debridement. Follow-up ultrasound showed preserved arterial flow despite reduced testicular size. This case underscores the need for prompt urological assessment in blunt trauma cases, ensuring timely intervention to maximize testicular salvage and function.

CureusVol. 17(7)
University of Ioannina (GR), National and Kapodistrian University of Athens (GR)
Life below water
Openalex Percentile: Top 72%
Testicular diseases and treatments
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