Rare Diagnosis in the Emergency Department: Traumatic Testicular Dislocation

Year 2024, , 48 - 49, 28.06.2024

Yasin Yıldız , Mine Kayacı Yıldız

https://doi.org/10.33706/jemcr.1420626

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.

Keywords

Emergency Medicine,, Trauma, Testicular Dislocation

Ethical Statement

The study did not obtain ethical committee approval, as it is a case report about the topics of emergency medicine and trauma.

Supporting Institution

The authors declared that this study received no financial support

Thanks

Dear Editor, I hope this letter finds you well. I am writing to submit a case report entitled "Rare Diagnosis in the Emergency Department: Traumatic Testicular Dislocation" for consideration for publication in Journal of Emergency Medicine Case Reports. This case report presents a unique instance of traumatic testicular dislocation, a rare complication of blunt scrotal trauma. The patient, an 18-year-old male involved in a motorcycle accident, presented with specific clinical findings, diagnostic challenges, and a successful intervention by manual manipulation. Our aim in submitting this case report is to contribute to the existing literature on traumatic testicular dislocation, providing insights into its diagnostic approach, associated injuries, and the efficacy of different treatment modalities. We believe that the clinical details and outcomes presented in this report will be of interest to the readership of Journal of Emergency Medicine Case Reports. We have thoroughly reviewed the guidelines for manuscript submission to Journal of Emergency Medicine Case Reports and have ensured that our submission complies with all necessary requirements. We believe that this case report aligns well with the scope and focus of your esteemed journal. Thank you very much for considering our submission. We look forward to the opportunity for our work to be reviewed by the editorial board of Journal of Emergency Medicine Case Reports. Sincerely, Yasin YILDIZ, MD. Emergency Medicine Specialist, Konya City Hospital, Emergency Medicine Clinic

References

• 1. Addas F, Yan S, Hadjipavlou M, et al. Testicular rupture or testicular fracture? A case report and literature review. Case Rep Urol 2018;2018:1323780.
• 2. Bromberg W, Wong C, Kurek S. Traumatic bilateral testicular dislocation. J Trauma. 2003;54:1009e1011.
• 3. Perera E, Bhatt S, Dogra VS. Traumatic ectopic dislocation of testis. J Clin Imaging Sci. 2011;1:17.
• 4. Matzek BA, Linklater DR. Traumatic testicular dislocation after minor trauma in a pediatric patient. J Emerg Med. 2013;45:537e540.
• 5. Schwartz SL, Faerber GJ. Dislocation of the testis as a delayed presentation of scrotal trauma. Urology. 1994;43:743e745.
• 6. Ekmekyapar M, Turtay MG, Gurbuz S, Derya S, Gokce H, Solgun OF. Rupture of testicle accompanying multiple traumas: A case report. Ann Med Res 2020; 27(12):3278-80.
• 7. 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.