Ballistic Trauma of the Scrotum with Rupture of the Testicular Tunica Albuginea: A Case Report at Sominé Dolo Hospital in Mopti (Mali)

Abstract

Since 2012, Mali has been going through a security crisis, characterized by armed attacks against civilians and soldiers; in the form of terrorist attacks or ambushes using different vulnerable agents. The lesions observed are often multiple and serious and can affect all organs to varying degrees. We report a case of ballistic trauma to the right scrotum with rupture of the testicular tunica albuginea in a soldier at his guard post in central Mali. This was a 28-year-old military patient, married, father of a child and with no medical or surgical history. The onset would go back a few hours approximately during an armed attack on their guard post located 30 kilometers from the hospital. Examination of the wound showed a bleeding albuginea with devitalization of a large part of the noble testicular tissue. The patient was hemodinamically stable and the operative blood test was normal. The abdominopelvic ultrasound was unremarkable. A debridement of the necrotic tissues was performed followed by closure of the tunica albuginea. The postoperative course was satisfactory. The patient received antitetanus serum therapy.