Hasan GÖKÇE, Şükrü GÜRBÜZ, Serdar DERYA, Muhammed EKMEKYAPAR, Muhammed Gökhan TURTAY, Ömer Faruk SOLGUN

Rupture of testicle accompanying multiple traumas: A case report

In this case report, we aimed to present an 18-year-old male patient who had ruptured testicle after severe testicular trauma that developed due to a motorcycle accident. An eighteen-year-old male patient was brought to the emergency service after a motorcycle accident. There were open fractures in the left arm and left leg. The scrotum was ruptured, both testicles were outside, and the right testicle was ruptured. The patient was underwent emergency surgery for intraabdominal hemorrhage and liver laceration by general surgery. Also urology joined the operation. Urology carried out right orchiectomy and left testicular fixation on the patient. Although rupture of testicles is a rare condition, it may accompany the diagnosis in patients with multiple traumas. Early urology consultation should be sought to be able to save testicles and minimize complications.

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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. Morey AF, Metro MJ, Carney KJ, et al. Consensus on Genitourinary Trauma: External Genitalia. BJU Int 2004;94:507-15.
3. Redmond EJ, Mac Namara FT, Giri SK, et al. Blunt testicular trauma - is surgical exploration necessary? Ir J Med Sci 2018;187:1109-13.
4. Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.
5. Jeffrey RB, Laing FC, Hricak H, et al. Sonography of testicular trauma. AJR Am J Roentgenol 1983;141:993-5.
6. Cass AS. Testicular trauma. J Urol 1983;129:299-300.
7. Zechlinski J, Sharafinski M, Sudakoff G. Ruptured testicular yolk sac tumor. Ultrasound Q 2014;30:238- 40.
8. Wang A, Stormont I, Siddiqui MM. A review of imaging modalities used in the diagnosis and management of scrotal trauma. Curr Urol Rep 2017;18:98.
9. Cannis M, Mailhot T, Perera, P. Bedside ultrasound in a case of blunt scrotal trauma. West J Emerg Med 2013;14:127-9.
10. Munter DW, Faleski EJ. Blunt scrotal trauma: Emergency department evaluation and management. Am J Emerg Med 1989;7:227–34.
11. Wang Z, Yang JR, Huang YM, et al. Diagnosis and management of testicular rupture after blunt scrotal trauma: A literature review. Int Urol Nephrol 2016;48:1967-76.
12. Kukadi AN, Ercole CJ, Gleich P, et al. Testicular trauma: potential impact on reproductive function. J Urol 1996;156:1643-6.