# Successful Salvage of a Ruptured Testis Following Severe Blunt Trauma in a Polytrauma Patient

**Authors:** Athanasios Zachariou, Aris Kaltsas, Grigorios Daligaros, Ioannis Giannakis, Nikolaos Sofikitis

PMC · DOI: 10.7759/cureus.87265 · Cureus · 2025-07-04

## TL;DR

A 20-year-old man's ruptured testis was successfully repaired after a severe motorcycle accident, highlighting the importance of quick urological evaluation.

## Contribution

This case report presents a successful salvage of a testicular rupture in a polytrauma patient after an eight-hour delay.

## Key findings

- Testicular rupture was confirmed via imaging with tunica albuginea disruption and hematoma.
- Surgical repair eight hours post-injury preserved arterial flow, though testicular size was reduced.
- The case emphasizes the importance of timely urological assessment in blunt trauma to maximize testicular salvage.

## Abstract

Testicular rupture is a rare but serious complication of blunt scrotal trauma, often linked to high-impact injuries. We report the case of a 20-year-old male with pelvic fractures and a high-riding right testis following a motorcycle accident. Imaging confirmed left testicular rupture with tunica albuginea disruption and hematoma. Surgery was performed eight hours post-injury, involving tunica repair and debridement. Follow-up ultrasound showed preserved arterial flow despite reduced testicular size. This case underscores the need for prompt urological assessment in blunt trauma cases, ensuring timely intervention to maximize testicular salvage and function.

## Full-text entities

- **Diseases:** hematoma (MESH:D006406), trauma (MESH:D014947), Testicular rupture (MESH:D012421), Polytrauma (MESH:D009104), pelvic fractures (MESH:D034161), Blunt Trauma (MESH:D014949), testicular (MESH:D013733)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12318350/full.md

## References

13 references — full list in the complete paper: https://tomesphere.com/paper/PMC12318350/full.md

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Source: https://tomesphere.com/paper/PMC12318350