Clinics in diagnostic imaging (114). Rupture of the right testis

Muttarak M, Thinyu S, Lojanapiwat B
Correspondence: Prof Malai Muttarak, mmuttara@mail.med.cmu.ac.th

ABSTRACT
A 22-year-old man, who was kicked in the scrotum during Thai kickboxing, presented with a painful swelling of the right hemiscrotum. Scrotal ultrasonography (US) showed an enlarged right testis with heterogeneous echogenicity and irregular contours. Colour Doppler US showed vascularity in the upper pole of the right testis and avascularity in the lower pole. Emergency exploration of the right hemiscrotum revealed laceration of the lower pole of the right testis. Debridement and repair of the right testis were performed. The clinical manifestations, role of US and US findings of scrotal trauma are discussed.

Keywords: colour Doppler ultrasonography, scrotal trauma, scrotum, testicular rupture, testis
Singapore Med J 2007; 48(3): 264–269