Testicular rupture: Difference between revisions
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==Background== | ==Background== | ||
[[File:Gray1144.png|thumb|Scrotal anatomy]] | [[File:Gray1144.png|thumb|Scrotal anatomy]] | ||
[[ | [[File:Figure 28 01 03.jpg|thumb|Testicular anatomy]] | ||
*Most commonly result of blunt trauma | *Most commonly result of blunt trauma | ||
*Typically MVA or sports related inury | *Typically MVA or sports related inury | ||
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==Evaluation== | ==Evaluation== | ||
[[File:PMC3698892 IJRI-22-293-g011.png|thumb|Transverse images of the left testis demonstrate a hypoechoic linear area (arrow) indicative of a testicular fracture in a patient with history of scrotal trauma. Associated hematocele (curved arrow) is also noted.]] | |||
*[[Scrotal ultrasound]] required for all blunt testicular injuries | *[[Scrotal ultrasound]] required for all blunt testicular injuries | ||
**Reliable in diagnosing ruptured testes<ref>Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.</ref> | **Reliable in diagnosing ruptured testes<ref>Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.</ref> | ||
Latest revision as of 07:03, 6 January 2022
Background
- Most commonly result of blunt trauma
- Typically MVA or sports related inury
Clinical Features
- Testicular pain
- Scrotal swelling
- Scrotal hematoma or ecchymosis
Differential Diagnosis
Lower GU Trauma
Testicular Diagnoses
- Testicular torsion
- Epididymitis
- Orchitis
- Torsion of testicular appendage
- Scrotal abscess
- Fournier gangrene
- Hydrocele
- Indirect inguinal hernia
- Hematocele
- Spermatocele
- Testicular trauma
- Testicular rupture
- Varicocele
- Inguinal lymph node (Lymphadenitis)
- Testicular tumor
- Cellulitis
Evaluation
- Scrotal ultrasound required for all blunt testicular injuries
- Reliable in diagnosing ruptured testes[1]
Management
- Urologic consultation
- Emergent scrotal exploration and testicular repair[2]
- 90% of testicles salvaged when repaired < 72 hr from injury
- 45% salvage rate after 72 hours
Disposition
- Normally admission
See Also
References
- ↑ Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.
- ↑ Chang, Andrew J.; Brandes, Steven B. (Aug 2013). "Advances in diagnosis and management of genital injuries". The Urologic Clinics of North America 40 (3): 427–438.