Traumatic dislocation of testes

Česká verzia

Authors: Lucie Bloudková ¹; Petr Klézl ¹; Tomáš Baitler ¹; Monika Grilli-Wagnerová ²; Robert Grill ¹
Authors place of work: Urologická klinika, Fakultní nemocnice Královské Vinohrady, Praha ¹; Radiodiagnostická klinika, Fakultní nemocnice Královské Vinohrady, Praha ²
Published in the journal: Ces Urol 2021; 25(4): 263-267
Category: Case reports

Summary

Traumatic dislocation of testes is a rare type of genital injury, which occurs mostly following motor vehicle accidents, particularly motorcycle accidents due to a blunt impact of the scrotum and perineum on the fuel tank of the motorcycle. This injury is often referred to as „fuel tank injury“ in the literature. An early diagnosis using ultrasonography and CT scan and immediate surgical management are of key importance for preserving of the function of the dislocated testis. We present a case of bilateral traumatic testicular dislocation in a 34-year-old patient following a motorcycle accident, diagnosed using ultrasonography and CT and managed with manual reduction under general anesthesia.

Keywords:

Traumatic testis dislocation – manual reduction

Zdroje

1. Claubry E. Observation sur une retrocession subite des deux testicules dans l’abdomen. J Gen Med Chir Pharmacol 1818; 64: 325.

2. Subramaniam S, Ab Khalil MK, Zakaria J, Hayati F. Managing traumatic testicular dislocations: what we know after two centuries. BMJ Case Rep 2020; 13:e236801.

3. Kitrey ND, Djakovic N, Hallscheidt P. Urological Trauma. In: EAU Guidelines. Edn. Presented at the EAU Annual Congress Milan 2021. ISBN 978-94-92671-13-4.

4. Perera E, Bhatt S, Dogra VS. Traumatic ectopic dislocation of testis. J Clin Imaging Sci 2011; 1: 17.

5. Kopecký J, Mainer K, Krhut J. Poranění zevního genitálu muže. Urol. praxi 2003; 4: 145–148.

6. Bernard Z, Myers D, Passias B J, Taylor B C, Castaneda J. Testicular Dislocation After Unstable Pelvic Injury. Cureus 2021; 13(2): e13119.

7. Phuwapraisirisan S, Lim M, Suwanthanma W. Surgical Reduction in a Delayed Case of Traumatic Testicular Dislocation. J Med Assoc Thai 2010; 93(11): 1317–1320.

8. de Carvalho NMN, Marques ACX, de Souza IT, et al. Bilateral Traumatic Testicular Dislocation. Case Rep Urol. 2018; 2018: 7162351. doi: 10.1155/2018/7162351.

9. Bhatt S, Dogra VS. Role of US in Testicular and Scrotal Trauma. RadioGraphics 2008; 28: 1617–1629.

10. Grill R, Mašková V, Džupa V, et al. Urologické a sexuální poruchy po závažném poranění pánve. Ces Urol 2007; 11(2): 115–118.

11. Mucha Z, Grepl M. Poranění zevního genitálu. Urol List 2005; 3(1): 33–39.