International journal of surgery case reports · 2026
Delayed presentation of blunt scrotal trauma, an avoidable cause of testicular necrosis in an adolescent: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Zeng Florent Tshibwid A, Cabala Vincent de Paul Kaoma, Feza Georgia Mwange Bibi, Mukaz Pitchou Mbey, Mbuyi-Musanzayi Sébastien, Ugumba Catherine Saleh
Аннотация
INTRODUCTION AND CLINICAL IMPORTANCE: Testicular trauma is a rare cause of acute scrotum, mainly affecting adolescents. It frequently occurs during sporting activities, and ultrasound enables the diagnosis of testicular lesions and the selection of appropriate treatment.
CASE PRESENTATION: We report the case of a 15-year-old admitted 2 weeks after a left blunt scrotal trauma. Preoperative scrotal ultrasound diagnosed a hematocele with blood flow interruption. The surgical exploration found an intratesticular hematoma with necrosis of the entire left testis. Prophylactic right testicular orchidopexy was performed, along with high-ligation left orchidectomy. The postoperative outcome was unremarkable 4 months after surgery.
CLINICAL DISCUSSION: When testicular trauma occurs, diagnosis should be made in the early stages, as surgical management before 72 hours has a lower risk for orchidectomy. But hidden trauma and financial constraints may result in delayed diagnosis with subsequent darkening functional prognosis.
CONCLUSION: Despite a theoretically good prognosis of intratesticular hematoma, delayed diagnosis due to socioeconomic factors may lead to testicular necrosis and subsequent avoidable orchidectomy.
CASE PRESENTATION: We report the case of a 15-year-old admitted 2 weeks after a left blunt scrotal trauma. Preoperative scrotal ultrasound diagnosed a hematocele with blood flow interruption. The surgical exploration found an intratesticular hematoma with necrosis of the entire left testis. Prophylactic right testicular orchidopexy was performed, along with high-ligation left orchidectomy. The postoperative outcome was unremarkable 4 months after surgery.
CLINICAL DISCUSSION: When testicular trauma occurs, diagnosis should be made in the early stages, as surgical management before 72 hours has a lower risk for orchidectomy. But hidden trauma and financial constraints may result in delayed diagnosis with subsequent darkening functional prognosis.
CONCLUSION: Despite a theoretically good prognosis of intratesticular hematoma, delayed diagnosis due to socioeconomic factors may lead to testicular necrosis and subsequent avoidable orchidectomy.