Rare Diagnosis in the Emergency Department: Traumatic Testicular Dislocation

Abstract

Abstract: Introduction: Traumatic Testicular Dislocation (TTD) is a rare form of scrotal trauma, involving the displacement of the scrotum directly towards the surrounding tissues due to direct compression, often occurring towards the inguinal area. In this report, we present a case of TTD in an adult patient involved in a motor vehicle accident and provide a brief review of this rare condition. Case Report: An 18-year-old male patient was brought to our emergency department following a motorcycle accident. The patient reported a new swelling in his left groin. On physical examination, the left side of the scrotum was found to be empty, without the presence of hematoma. A swelling in the described area was palpated in the left inguinal region. A CT scan, conducted due to trauma, did not reveal the left testis in its normal position; instead, the testis was identified in the left inguinal region. Scrotal Doppler ultrasound was performed. The left testis was manually manipulated and descended into the left scrotum by Urologist. Conclusion: Testicular dislocation is a rare complication of blunt scrotal trauma. Even in the presence of multiple injuries, a thorough examination of the testicles is always recommended. Ultrasound (USG) and Doppler USG are the most useful diagnostic tools for TTD, but CT can also be helpful in cases of complex trauma. While TTD is not a life-threatening condition, a careful plan is recommended for the repositioning of the testis. References: 1. Bromberg W, Wong C, Kurek S. Traumatic bilateral testicular dislocation. J Trauma. 2003;54:1009e1011. 2. Perera E, Bhatt S, Dogra VS. Traumatic ectopic dislocation of testis. J Clin Imaging Sci. 2011;1:17. 3. Matzek BA, Linklater DR. Traumatic testicular dislocation after minor trauma in a pediatric patient. J Emerg Med. 2013;45:537e540. 4. Schwartz SL, Faerber GJ. Dislocation of the testis as a delayed presentation of scrotal trauma. Urology. 1994;43:743e745. 5. Claubry E. 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. 1818;64:325.