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False Diagnosis of Ruptured Testes in a Case of Traumatic Dislocation

Testicular trauma can be a surgical emergency, and in general, surgical intervention must be performed within 3 days of the trauma for testicular salvage. 1,2 Both sonography, with and without color Doppler imaging, and computed tomography (CT) are useful diagnostic tests to evaluate the scrotal contents and abnormalities. Straddle injuries, often from motorcycle accidents, can rarely cause testicular dislocation and are usually accompanied by scrotal hematoma and pelvic fracture. 3 With abdominal CT and color Doppler sonography, the dislocated testicle and its blood flow are usually located, although at the initial time of injury, they may go undetected. 3 Victims typically are in their second and third decades of life, and the dislocation is most likely secondary to accidental trauma. We present a case in which a patient was thought to have shattered testes and was emergently taken to the operating room, where the testes were found to have normal blood flow bilaterally but to be displaced superiorly by a scrotal hematoma.