CASE 318 Published on 16.01.2000

Testicular fracture

Section

Uroradiology & genital male imaging

Case Type

Clinical Cases

Authors

E. Schouman-Claeys, E. Abécidan

Patient

27 years, male

Categories
No Area of Interest ; Imaging Technique Ultrasound
Clinical History

Scrotal trauma.

Imaging Findings

Significant swelling and pain of the right hemiscrotum, precluding clinical examination, 12 hours after blunt scrotal trauma.

Discussion

Diagnosis of testicular trauma can be confidently established on the basis of the generally impressive clinical presentation and anamnestic data : a kick to the scrotum or straddle injury. Testis viability is often determined only by surgery. US may be useful when showing small purely intratesticular hematoma, with overall preserved testis echogeneity, vascularization and limits. Such cases are treated conservatively. Surgery is necessary in case of hematocele, suspicion of associated spermatic cord torsion, large parenchymal contusions, testicular fracture or albuginea laceration. However in these cases subsequent irregularities of testicular contours can be difficult to reveal. Therefore geographic patterns suggesting dissecting intratesticular hematoma, should direct to surgery.

Differential Diagnosis List
Testicular fracture
Final Diagnosis
Testicular fracture
Case information
URL: https://eurorad.org/case/318
DOI: 10.1594/EURORAD/CASE.318
ISSN: 1563-4086