Traumatic testicular dislocation: A rare occurrence of blunt scrotal injury

Abstract

We report a motorcyclist who presented with a right empty hemiscrotum with ecchymosis and swelling after sustaining straddle injuries in a motorcycle collision. A tender soft mass was palpable in the right groin on physical examination. The ultrasound image revealed a right dislocated testis within the inguinal canal; it had a normal size and echotexture. Manual reduction was unsuccessful. The patient underwent surgical exploration and reduction. He recovered well after undergoing orchidopexy. Two weeks later, the follow-up physical examination at the outpatient clinic was normal. Traumatic testicular dislocation is a rare occurrence after blunt scrotal trauma and is easily overlooked. Manual reduction of a dislocated testis has a low success rate and may overlook coexisting injuries. Early surgical exploration and testicular repositioning are necessary to preserve the testis and avoid coexisting injuries.