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Journal of Diagnostic Medical Sonography
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Sonographic Evaluation of a Testicular Fracture

Joy D. Guthrie, DHSc, RDMS, RDCS, RVT, ROUB

Children's Hospital Central California, Madera, CA, guthriej{at}hotmail.com

Testicular fracture with or without rupture is a rare but serious complication of scrotal trauma. Sonography is well established as the gold standard for testicular injury in an acute setting. The normal testicular parenchymal pattern is homogeneous by gray-scale sonography and free of internal irregularities. The sonographic findings in testicular fracture include a distinct or indistinct fracture line coursing through the testicle. This case study demonstrates an acute testicular fracture with associated hematocele. The fracture line in this examination was seen dissecting the left testicle without scrotal wall rupture and sustained flow to the superior half of the testicle. Prompt evaluation by gray scale and color and spectral Doppler revealed adequate flow to the superior portion of the testicle. Sonography proved helpful in guiding the surgical treatment that resulted in salvage of the upper half of the traumatized testicle instead of the customary orchiectomy (removal of the testicle).

Key Words: testicular fracture • testicular rupture • blunt scrotal trauma • hematocele

Journal of Diagnostic Medical Sonography, Vol. 23, No. 5, 298-301 (2007)
DOI: 10.1177/8756479307307873
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