Case Report
J Clin Ultrasound 20:346348, June 1992 0 1992 by John Wiley & Sons, Inc. CCC 0091-2751/92/050346-03 $04.00
Ultrasound Diagnosis of Traumatic Testicular Rupture Phamode Bhandary, BS,* Patricia L. Abbitt, MD,? and Laurence Watson, RDMS*
Since 1905 when Cotton first reported a case of traumatic rupture of the testis, there have been approximately 50 cases reported in the medical literature.' The true incidence of this condition is unknown, although it is likely that traumatic testicular rupture is underdiagnosed and often treated con~ervatively.~>~ Delayed repair of testicular injury may lead to impaired fertility related to testicular loss. If testicular rupture is considered likely, prompt scrotal exploration is imperative to maximize the chances of orFrom the *Department of Radiology, University of Virginia Health Sciences Center, Charlottesville, Virginia, and fDepartment of Radiology, University of Florida College of Medicine, Gainesville, Florida. For reprints contact Patricia L. Abbitt, MD, University of Florida College of Medicine, Department of Radiology, Box 5-374, JHMHC, Gainesville, Florida 32610-0374.
gan p r e ~ e r v a t i o n . ~ Ultrasonography ,~ has been shown to be reliable in identifying intratesticular architectural d i ~ t o r t i o n ~and - ~ can, therefore, be helpful in identifying rupture of the testis.
CASE REPORT
The patient, a 21-year-old college student, presented to the emergency room after sustaining a kick to the groin during an assault a few hours earlier. He was in mild distress, and complained of right scrotal pain and swelling. An ultrasound examination demonstrated disruption of the tunica albuginea with extrusion of portions of the disrupted testis and areas of hemorrhage (Figures 1-3). The patient was taken to the operating room for emergency right scrotal exploration.
FIGURE 1. Hypoechoic fracture through the traumatized testis was demonstrated by sonography (arrow)
346
FIGURE 2. Extensive intratesticular echotexture disruption is seen in this image.
FIGURE 3. Close-up illustrates extruded seminferous tubules (arrows).
347
CASE REPORT: BHANDARY ET AL.
348
J Clin Ultrasound 20:346348, June 1992 0 1992 by John Wiley & Sons, Inc. CCC 0091-2751/92/050346-03 $04.00
Ultrasound Diagnosis of Traumatic Testicular Rupture Phamode Bhandary, BS,* Patricia L. Abbitt, MD,? and Laurence Watson, RDMS*
Since 1905 when Cotton first reported a case of traumatic rupture of the testis, there have been approximately 50 cases reported in the medical literature.' The true incidence of this condition is unknown, although it is likely that traumatic testicular rupture is underdiagnosed and often treated con~ervatively.~>~ Delayed repair of testicular injury may lead to impaired fertility related to testicular loss. If testicular rupture is considered likely, prompt scrotal exploration is imperative to maximize the chances of orFrom the *Department of Radiology, University of Virginia Health Sciences Center, Charlottesville, Virginia, and fDepartment of Radiology, University of Florida College of Medicine, Gainesville, Florida. For reprints contact Patricia L. Abbitt, MD, University of Florida College of Medicine, Department of Radiology, Box 5-374, JHMHC, Gainesville, Florida 32610-0374.
gan p r e ~ e r v a t i o n . ~ Ultrasonography ,~ has been shown to be reliable in identifying intratesticular architectural d i ~ t o r t i o n ~and - ~ can, therefore, be helpful in identifying rupture of the testis.
CASE REPORT
The patient, a 21-year-old college student, presented to the emergency room after sustaining a kick to the groin during an assault a few hours earlier. He was in mild distress, and complained of right scrotal pain and swelling. An ultrasound examination demonstrated disruption of the tunica albuginea with extrusion of portions of the disrupted testis and areas of hemorrhage (Figures 1-3). The patient was taken to the operating room for emergency right scrotal exploration.
FIGURE 1. Hypoechoic fracture through the traumatized testis was demonstrated by sonography (arrow)
346
FIGURE 2. Extensive intratesticular echotexture disruption is seen in this image.
FIGURE 3. Close-up illustrates extruded seminferous tubules (arrows).
347
CASE REPORT: BHANDARY ET AL.
348
