Abstract
We report a case of a unilateral testicular dislocation to the superficial inguinal region associated with a lateral compression type pelvic ring injury (OTA classification 61-C3.3a2, b2, c3) and left T-shaped acetabulum fracture (OTA classification 62-B2) in a 44-year-old male who was in a motorcycle accident. The testicular dislocation was noted during the emergency department primary survey, and its location and viability were verified with ultrasound. The testicle was isolated during surgical stabilization of the left acetabulum through a Pfannenstiel incision and modified-Stoppa approach and returned through the inguinal canal to the scrotum. In follow-up, the patient did not suffer urologic or sexual dysfunction. All motorcycle collision patients presenting with pelvic ring injuries or acetabulum fractures should be worked up for possible testicular dislocation with a scrotal exam. Advanced imaging and a urologic consult may be necessary to detect and treat these injuries.
Highlights
Traumatic testicular dislocation is a rare finding most frequently found as part of a spectrum of anterior posterior compression type pelvic ring fractures associated with motorcycle collisions [1,2,3,4,5]
The following report describes a testicular dislocation with a lateral compression type pelvic ring injury and a T-type acetabulum fracture, which is unique to the literature
Testicular dislocation often presents with a wide variety of traumatic injuries, most frequently due to a motorcycle collision, and it can be overlooked due to the severity of other injuries [2]
Summary
Traumatic testicular dislocation is a rare finding most frequently found as part of a spectrum of anterior posterior compression type pelvic ring fractures associated with motorcycle collisions [1,2,3,4,5]. The following report describes a testicular dislocation with a lateral compression type pelvic ring injury and a T-type acetabulum fracture, which is unique to the literature. The purpose of this report is to raise awareness of the potential association of lateral compression type pelvic ring injuries and testicular dislocations in the context of motorcycle-related trauma, as well as describe comanagement of this presentation. Knowledge of this presentation will likely prevent iatrogenic injury and the associated comorbidities of an unrecognized testicular dislocation. We have obtained the patient’s written informed consent for print and electronic publication of this report
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