We present a case of an isolated epididymal injury incurred after scrotal trauma from a high velocity paintball round. A good clinical history and physical examination, with imaging studies when necessary, are the best tools for a correct and early diagnosis for testicular. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. The epididymis is a coiled tube that holds sperm for a while after they leave the testicle. Sep 18, 2019 penetrating testicular trauma with the possible exception of a superficial skin injury should be explored in the operating room. Traumatic testicular dislocation after minor trauma in a pediatric patient. Severe blunt testicular trauma is an infrequently reported consequence of injury, yet it is associated with significant sequelae. Testicular trauma is the third most common cause of acute scrotal pain. A rare type of testicular trauma, called testicular rupture, occurs when a testicle receives a direct blow or is squeezed against the hard bones of the pelvis. This pool of blood stretches the scrotum until its tense, and can lead to infection.
Testicular trauma is the third mostcommon cause of acute scrotal pain and may result in various degree of damage to the testes. Penetrating testicular trauma with the possible exception of a superficial skin injury should be explored in the operating room. Pediatric testicular torsion is an acute vascular event in which the spermatic cord becomes twisted on its axis see the image below, so that the blood flow to or from the testicle becomes impeded. Testicular rupture and testicular ischemiainfarct are two severe complications which need to be ruled out.
In a followup ultrasonographic study of unilateral testicular trauma, cross and colleagues found that 5 of the 10 patients developed atrophy of the injured testis, defined as a reduction in volume of more than 50% compared. Patients with a history of blunt trauma and associated hematoceles often undergo surgical exploration for earlier resolution of pain and shorter convalescence. Trauma pediatrico atls pdf we also included a fifth indicator that counted the number of interventions performed out of the first 4 recommended interventions. This injury can cause blood to leak into the scrotum and possibly even infertility and other complications. Sonographic appearances of the epididymis in boys with acute testicular torsion but preserved testicular blood flow on color doppler. Jul 02, 2019 pediatric testicular torsion is an acute vascular event in which the spermatic cord becomes twisted on its axis see the image below, so that the blood flow to or from the testicle becomes impeded. Com o endocrino pediatra, o tratamento realizado e a reposicao androgenica. A good anamnesis and physical examination, with imaging studies when necessary, they are the best weapons for a correct and early diagnosis for testicular trauma, indicating the best treatment to be done. A good clinical history and physical examination, with imaging studies when necessary, are the best tools for a correct and early diagnosis for testicular trauma, indicating the best treatment to be done. Isolated epididymal injury without associated underlying scrotal or testicular injury in the setting of blunt trauma is exceedingly rare. Urologia practica 2011 traumatismo escrotal y testicular. May, 2015 isolated epididymal injury without associated underlying scrotal or testicular injury in the setting of blunt trauma is exceedingly rare. Revista pediatria electronica torsion testicular en pediatria. Epididimite disturbios geniturinarios manuais msd edicao.
Trauma to the testicle or scrotum can harm any of its contents. Testicular atrophy is most likely the result of the original testicular trauma rather than efforts to salvage the testis. Testicular trauma is when a testicle is hurt by force. Con frecuencia resultan del trauma hematomas, hidrocele, hematocele, fractura testicular o ruptura testicular. Scrotal trauma in boys is most commonly due to sportsrelated activity 50% followed by motor vehicle accidents 17% 11. Testicular rupture, like testicular torsion and other serious injuries to the. Traumatismo escrotal y testicular etiologia trauma contuso. Rather, acute trauma often brings a testicular abnormality to the attention of the patient because it leads to swelling and pain in the testis. Testicular trauma can injure the epididymis, leaving it inflamed or infected.
Testicular trauma is an injury of the testes, usually caused by blunt force impact due to traffic accidents, fights or sports injuries. When the testicles tough cover is torn or shattered, blood leaks from the wound. Torsion testicular trastornos urogenitales manual msd. Hence, scrotal trauma is a common occurrence and probably happens to all men at some time. Testicular rupture is a rare type of testicular trauma. Isolated epididymal injury after blunt scrotal trauma from. Jul 08, 2019 trauma pediatrico atls pdf we also included a fifth indicator that counted the number of interventions performed out of the first 4 recommended interventions. Penetrating or degloving trauma is also possible buckley and mcaninsh, 2006. Torsion testicular en pediatria, diagnostico y manejo.
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