scholarly journals Testicular Rupture or Testicular Fracture? A Case Report and Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Firas Addas ◽  
Sylvia Yan ◽  
Marios Hadjipavlou ◽  
Michael Gonsalves ◽  
Samer Sabbagh
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Tunica Albuginea ◽  
Severe Injuries ◽  
Surgical Exploration ◽  
Complete Rupture ◽  
Testicular Rupture ◽  
Testicular Trauma ◽  
Fracture Diagnosis

Testicular trauma is relatively uncommon. However, severe injuries can result in many complications and should be carefully diagnosed and managed. We present a case of testicular fracture diagnosis made by ultrasonography. The surgical exploration revealed the fracture as well as complete rupture of the tunica albuginea. Testicular rupture is the disruption of the tunica albuginea, while testicular fracture is a “break” in the testicular parenchyma. Management could be conservative in mild fracture cases without rupture while suspected or confirmed fracture should be treated by surgical exploration.

scholarly journals Seminoma presented as testicular rupture: Case report and literature review

2014 ◽  
Vol 8 (9-10) ◽  
pp. 749 ◽  
Author(s):  
Rahul Lunawat ◽  
Marius Craciun ◽  
Savvas Omorphos ◽  
Philip MT Weston ◽  
Shekhar C Biyani
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Blunt Trauma ◽  
Unusual Case ◽  
Clinical Suspicion ◽  
Surgical Exploration ◽  
Scrotal Ultrasound ◽  
Testicular Rupture ◽  
Testicular Injury ◽  
Parenchymal Damage

Rupture of the testis as a result of blunt trauma is rarely seen in daily urological practice. We report an unusual case of incidental seminoma diagnosed after surgical exploration and subsequent orchidectomy of a severed testis following testicular injury as a result of trivial blunt trauma. This case highlights the inability of investigative tools, such as a scrotal ultrasound, in distinguishing an underlying tumour in the presence of testicular parenchymal damage. We therefore advocate a high index of clinical suspicion for co-existing pathology in cases of testicular rupture secondary to an insignificant blunt trauma to the scrotum.

scholarly journals Testicular Rupture Following Blunt Scrotal Trauma

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Derek Blok ◽  
Matthew Flannigan ◽  
Jeffrey Jones
Keyword(s):  
Tunica Albuginea ◽  
Symptom Control ◽  
Seminiferous Tubules ◽  
Surgical Exploration ◽  
Testicular Rupture ◽  
Testicular Trauma ◽  
Blunt Scrotal Trauma ◽  
Serious Injury ◽  
Scrotal Trauma

Testicular rupture after blunt scrotal trauma is characterized by rupture of the tunica albuginea and extrusion of seminiferous tubules. This is a serious injury and appropriate evaluation and management are necessary both for symptom control, but also for preservation of the testicle. Clinical examination of the scrotum following trauma is difficult and may result in incorrect triage of patients for surgical exploration. This case study describes the assessment and management of blunt testicular trauma in an adolescent lacrosse player.

scholarly journals Intra-Testicular Papaverine Injection for Testicular Salvage after Blunt Testicular Trauma: A Case Report

2019 ◽  
Vol 13 (2) ◽  
pp. 110-112
Author(s):  
Kevin Keating ◽  
Paulette C. Dreher ◽  
Jason Levy ◽  
Brian McGreen ◽  
Daniel Edwards ◽  
...  
Keyword(s):  
High Speed ◽  
Motor Vehicle ◽  
Primary Repair ◽  
Tunica Albuginea ◽  
Current Evidence ◽  
Common Mechanism ◽  
Surgical Interventions ◽  
Surgical Exploration ◽  
Valuable Treatment ◽  
Testicular Trauma

Blunt trauma is the most common mechanism of injury to the scrotum and testicle. Surgical exploration with primary repair, hematoma evacuation, and de-torsion are common surgical interventions. A 20-year-old male with no previous medical history presented after a high-speed motor vehicle collision. Ultrasonography demonstrated heterogeneous changes of the tunica albuginea and decreased arterial flow to bilateral testicles. He was subsequently taken to the operating room for surgical exploration, which revealed bilateral mottled testes with questionable viability. Papaverine was injected into each testicle, which resulted in visibly increased perfusion and subsequent preservation of the testicles. Conclusion: Current evidence on the use of papaverine is isolated to testicular torsion. Additional research should be conducted on the use of papaverine in blunt testicular trauma. Papaverine injection may be a valuable treatment option when inadequate perfusion is observed intra-operatively.

Rare case of acute scrotal swelling: Multiple testicular rupture with intraparenchymal lesions and intact tunica albuginea

1992 ◽  
Vol 59 (1_suppl) ◽  
pp. 258-260
Author(s):  
C. Lania ◽  
M. Grasso ◽  
M. Castelli ◽  
E. Angeli ◽  
A. Del Maschio ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Rare Case ◽  
Ultrasound Examination ◽  
Tunica Albuginea ◽  
Age Group ◽  
Surgical Exploration ◽  
Normal Limits ◽  
Testicular Rupture ◽  
Scrotal Swelling ◽  
Haemorrhagic Necrosis

Bilateral testicular rupture is rare. Incidence is highest in the 16–20 age group. There are no specific signs or symptoms which make a differential diagnosis between testicular rupture and scrotal traumas possible. Examination at Doppler and ultrasonography and early surgical exploration provide early diagnosis, which is necessary to safeguard fertility. We report one case of bilateral orchialgia, following a diving episode. Ultrasound examination of the scrotum showed bilateral multiple areas of altered echogenicity of the testicular parenchyma and an intact tunica albuginea. During surgery bilateral multiple areas of haemorrhagic necrosis were drained. Outpatient examination one month after leaving the hospital was normal. At 3 and 6 months the results of seminal examination were within normal limits according to the parameters established by the WHO.

scholarly journals Painful Pseudotendon Caused by Closed Rupture of the Flexor Carpi Radialis Tendon: A Case Report and Literature Review

2020 ◽  
Vol 25 (2) ◽  
pp. 118-123
Author(s):  
Youn-Tae Roh ◽  
Changhoon Jeong ◽  
Jaeyoung Lee ◽  
Sunwook Hwang ◽  
Il-Jung Park
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Flexor Carpi Radialis ◽  
Complete Rupture ◽  
Closed Rupture

Closed rupture of the flexor carpi radialis tendon in non-rheumatoid patients is uncommon. We report a case of a 53-year-old woman who developed painful pseudotendon after a complete rupture of the flexor carpi radialis tendon due to osteoarthritis of the scaphotrapezial trapezoidal joint.

scholarly journals Penile fracture with bilateral corporeal rupture and complete urethral disruption: case report and literature review

2013 ◽  
Vol 5 (2) ◽  
pp. 23
Author(s):  
Nathan A. Hoag ◽  
Kiara Hennessey ◽  
Alan So
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Erectile Function ◽  
Surgical Repair ◽  
Review Of The Literature ◽  
Penile Fracture ◽  
Rare Injury ◽  
Surgical Exploration ◽  
Corpora Cavernosa

Penile fracture is a rare injury most commonly sustained duringsexual intercourse. We report the case of a 35-year-old man whopresented with bilateral rupture of the corpora cavernosa andcomplete disruption of the urethra. A review of the literature onpenile fracture is also presented. Urgent surgical exploration wasperformed and the injuries repaired primarily. In follow-up, thepatient reported satisfactory erectile function. This case highlightsthe importance of early surgical repair and evaluation for concomitanturethral injuries in cases of penile fracture.

scholarly journals Testicular rupture after blunt scrotal trauma in children: A case report and literature review

2021 ◽  
pp. 100482
Author(s):  
Salihou Aminou Sadjo ◽  
Christelle Destinval ◽  
Jean-Louis Lemelle ◽  
Nicolas Berte
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Testicular Rupture ◽  
Blunt Scrotal Trauma ◽  
Scrotal Trauma

scholarly journals Spigelian hernia case report and review of literature

2020 ◽  
Vol 7 (3) ◽  
pp. 880
Author(s):  
Saad Slaiki ◽  
Amine Hamdane ◽  
Hicham El Bouhaddouti ◽  
Abdelmalek Ousadden ◽  
Khalid Ait Taleb ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Obese Patient ◽  
Iliac Fossa ◽  
Spigelian Hernia ◽  
Review Of Literature ◽  
Morphological Examination ◽  
Surgical Exploration ◽  
Postoperative Course ◽  
The Right

Spigelian hernia is rare and accounts for less than 0.1% of abdominal wall hernias. It is often diagnosed at the complication stage. Authors report the case of a 48-year-old obese patient who had a painful swelling of the right iliac fossa. Morphological examination data were in favour of a strangled spigelian hernia and surgical exploration had shown a hernial sac with epiploic contents with a narrow collar. It was performed a resection of the retracted epiploon with simple raphy. The postoperative course was uneventful. Diagnostic and therapeutic difficulties are discussed through a literature review.

scholarly journals Primary testicular mucinous cystadenoma: Case report and literature review

2015 ◽  
Vol 9 (11-12) ◽  
pp. 814 ◽  
Author(s):  
Mario Maciel De Lima Jr ◽  
Mario Maciel De Lima ◽  
Fabiana Granja
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Mucinous Cystadenoma ◽  
Uneventful Recovery ◽  
Therapeutic Outcomes ◽  
Testicular Trauma ◽  
History Of ◽  
Radical Orchiectomy ◽  
Mucinous Cystadenomas ◽  
High Index Of Suspicion

Testicular mucinous cystadenomas are rare in urological practice, and their histogenesis, course and management are debated. We report a primary testicular mucinous cystadenoma in a 54-year old male who presented with left testicular swelling and pain. He denied having a history of cryptorchidism, testicular trauma, infections, urinary complaints, or febrile illnesses. He did not have diabetes, but was on treatment for hypertension. The patient underwent a left inguinal radical orchiectomy, and histological examination of the resected tumour confirmed a primary testicular mucinous cystadenoma. The patient had an uneventful recovery, and is being followed up. Conclusively, urologists need to maintain a high index of suspicion of these tumours and their differentiation from metastatic tumours to ensure optimal therapeutic outcomes.

scholarly journals Adenomatoid Tumor of the Tunica Albuginea in a Boy: A Case Report and Literature Review

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Kaimin Guo ◽  
Runhui Tian ◽  
Lingyun Liu ◽  
Congqi Du ◽  
Fubiao Li ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Tunica Albuginea ◽  
Tumor Resection ◽  
Final Diagnosis ◽  
Adenomatoid Tumor ◽  
Solid Mass ◽  
Comprehensive Literature Review ◽  
Fourth Decade ◽  
Histology And Immunohistochemistry

Adenomatoid tumors (AT) are the most common paratesticular neoplasms and account for approximately 30% of all paratesticular masses. Most of them occur in the third or fourth decade and present as well-defined firm and painless masses. We report here a case of adenomatoid tumor from tunica albuginea. This patient is a 12-year-old boy with left testicular pain for 6 months. Scrotal ultrasonography revealed a solid mass of paratesticular origin. The histology and immunohistochemistry confirmed the final diagnosis. A right tumor resection was performed. Because of its rarity, the clinical and histopathologic appearance is seldom illustrated. Here we present a case report and a comprehensive literature review with the objective of providing useful information on this entity.

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