What's the Diagnosis? By Dr. Reid Phillips
A 15 yo boy with no PMH presents with 24 hours of severe left testicle pain following a kick to the groin. Left scrotum is firm and tender. An ultrasound is ordered. What's the diagnosis? Scroll down for answer.
Answer: Testicular Rupture
Ultrasound shows intra-testicular hematoma with disruption of tunica albuginea and hematocele consistent with testicular rupture
- If hematocele is appreciated clinically, it is appropriate to consult urology for surgical intervention prior to ultrasound
- Sensitiviy of ultrasound for testicular rupture approaches 100%
- Standard of care is early surgical repair with testicular salvage rate greater than 90% for surgery within 3 days
- Click here to read more on testicular rupture