Abstract
Traumatic testicular dislocation is a rare complication secondary to different kinds of accidents. A 61-year-old man, who was injured by wall collapse and was diagnosed as pelvic fracture and posterior urethral rupture 5 months ago, came to the urologic department to seek urethral reconstruction. However, thorough physical examination and imaging examination confirmed a round mass in the right inguinal region and an empty right scrotum, which support diagnosis of testicular dislocation. The patient did not take the initiative to complain about that because he thought the right testis had been destroyed by the accident already. So the patient underwent fiber cystourethroscopy, urethral reconstruction, and orchiopexy. No testicular atrophy was confirmed at follow-up. We reviewed previous reports about traumatic testicular dislocation and analyzed the cause of delayed diagnosis.
Highlights
Traumatic testicular dislocation is a rare complication secondary to different kinds of accidents
A 61-year-old man, who was injured by wall collapse and was diagnosed as pelvic fracture and posterior urethral rupture 5 months ago, came to the urologic department to seek urethral reconstruction
Thorough physical examination and imaging examination confirmed a round mass in the right inguinal region and an empty right scrotum, which support diagnosis of testicular dislocation
Summary
Pelvic fracture is usually caused by intense energy trauma, and its mortality rate reaches 19% [1]. There were some reports describing the delayed diagnosis of penile dislocation, which could be dislocated into scrotum [7, 8] or in the foreside of pubic bone [9, 10] In this situation, the patient will have urine retention [8], which should be differentiated from urethral rupture secondary to pelvic fracture. There was even a report that the diagnosis of bilateral testicular dislocation was delayed 15 years after azoospermia [16]. With the specialization of functions in different departments of the hospital, for patients hospitalized in other departments, consultants may be lacking in communication and physical examination, which leads to delayed diagnosis. Patients misunderstand that their own state of illness will lead to delayed diagnosis
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