Traumatic testicular dislocation with pelvic fracture in a 17 year old adolescent: A case report

TL;DR

A 17-year-old boy suffered testicular dislocation after a traffic accident, highlighting the importance of early detection and treatment to avoid complications.

Contribution

This case emphasizes the need for careful evaluation of testicular dislocation in trauma patients with inguinal symptoms.

Findings

Testicular dislocation was diagnosed three weeks after a road traffic accident in a 17-year-old.

Surgical exploration and orchidopexy successfully repositioned the displaced testis.

Early imaging and scrotal examination are critical for timely diagnosis in trauma patients.

Abstract

Testicular dislocation is a rare condition in which one or both testes are displaced from the scrotum to an ectopic location and is often overlooked due to associated injuries. A 17-year-old adolescent presented three weeks after a road traffic accident with left inguinal swelling and pain. Initial assessment revealed a pelvic fracture treated conservatively. Examination showed left inguinal tenderness, and ultrasonography confirmed the testis in the inguinal region. Surgical exploration revealed displacement at the inguinal ring. The testis was repositioned and orchidopexy performed. Recovery was uneventful. Trauma patients with inguinal pain or swelling should be evaluated for testicular dislocation.

•Traumatic testicular dislocation is a rare and frequently missed genitourinary injury.•High-energy blunt trauma, especially motorcycle straddle injuries, is the most common cause.•Associated injuries often delay diagnosis during the initial trauma assessment.•Early imaging and careful scrotal examination are critical for detection.•Timely surgical exploration and orchidopexy prevent torsion, ischemia, and infertility.

Traumatic testicular dislocation is a rare and frequently missed genitourinary injury.

High-energy blunt trauma, especially motorcycle straddle injuries, is the most common cause.

Associated injuries often delay diagnosis during the initial trauma assessment.

Early imaging and careful scrotal examination are critical for detection.

Timely surgical exploration and orchidopexy prevent torsion, ischemia, and infertility.

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