Testicular rupture: Difference between revisions
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==Background== | ==Background== | ||
[[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 | ||
==Clinical | ==Clinical Features== | ||
*Testicular pain | *Testicular pain | ||
*Scrotal swelling | *Scrotal swelling | ||
*Scrotal hematoma or ecchymosis | *Scrotal hematoma or ecchymosis | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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*[[Testicular tumor]] | *[[Testicular tumor]] | ||
*[[Cellulitis]] | *[[Cellulitis]] | ||
==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 | |||
**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> | |||
==Management== | ==Management== | ||
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**45% salvage rate after 72 hours | **45% salvage rate after 72 hours | ||
== | ==Disposition== | ||
*Normally admission | |||
==See Also== | ==See Also== | ||
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*[[Testicular diagnoses]] | *[[Testicular diagnoses]] | ||
[[Category: | ==References== | ||
<references/> | |||
[[Category:Urology]] | |||
[[Category:Trauma]] | [[Category:Trauma]] | ||
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.