A Case of Unilateral Partial Testicular Rupture Misdiagnosed as Epididymo-Orchitis

Testicular rupture is a rare but serious complication of blunt scrotal trauma that necessitates urgent intervention. A clinical examination of the scrotum alone cannot facilitate the diagnosis. Misdiagnosis can lead to delayed treatment and poor testicular salvage. Here, we report a case of a partial left testicular rupture in a patient initially managed as epididymo-orchitis, who subsequently underwent successful scrotal exploration and tunica albuginea repair. This case report re-emphasizes the importance of a thorough history, clinical assessment, and ultrasound imaging in the early detection and successful management of the condition.

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Publication Details

Journal
Cureus
Published
2025-09-15
DOI
https://doi.org/10.7759/cureus.92387
Primary Topic
Testicular diseases and treatments
Type
article
Field-Weighted Citation Impact
0.00
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article

A Case of Unilateral Partial Testicular Rupture Misdiagnosed as Epididymo-Orchitis

Sandeep Kumar, Nirmal Thampi John, Abe George
Cureus
Testicular diseases and treatments
article

A Case of Unilateral Partial Testicular Rupture Misdiagnosed as Epididymo-Orchitis

Sandeep Kumar, Nirmal Thampi John, Abe George
article en

Abstract

Testicular rupture is a rare but serious complication of blunt scrotal trauma that necessitates urgent intervention. A clinical examination of the scrotum alone cannot facilitate the diagnosis. Misdiagnosis can lead to delayed treatment and poor testicular salvage. Here, we report a case of a partial left testicular rupture in a patient initially managed as epididymo-orchitis, who subsequently underwent successful scrotal exploration and tunica albuginea repair. This case report re-emphasizes the importance of a thorough history, clinical assessment, and ultrasound imaging in the early detection and successful management of the condition.

CureusVol. 17(9)
Christian Medical College, Vellore (IN)
Openalex Percentile: Top 60%
Testicular diseases and treatments
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