- The man, aged around 20, had had his testicle pushed into his own body.
- Doctors were able to surgically reposition him during an operation lasting an hour and a half.
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A motorcycle accident dislocated a man’s testicle and threw it inside his own body.
The man, aged in his 20s, arrived at the emergency room after a road accident in Italy pushed his testicle into his abdomen, leaving him in excruciating pain.
His right testicle had been forced from its usual location in the scrotum – the thin sac of skin that holds the testicles in place – through a small passage in the groin and up to the abdomen.
It is unusual for trauma to dislocate the testicles enough that they leave the scrotum, doctors said in the report. BMJ Case Reports.
About 80 percent of reported cases involve men in their 20s who were in motorcycle accidents, they found in a review of the literature. Only in about six percent of cases do the testicles travel to the abdomen.
His right testicle (circled in red) had been forced from its usual location in the scrotum – the thin sac of skin that holds the testicles in place – through a small passage in the groin and up to the abdomen.
The man, aged around 20, arrived at the emergency room after a road accident in Italy (archive photo)
The man had a significant swelling of clotted blood in his scrotum, where blood had leaked from veins and arteries due to the impact of the accident, meaning doctors initially could not properly examine his testicles.
Once they stopped the bleeding and removed the pooled blood from his groin, they treated his other injuries, including severe pelvic fractures, and checked that his bladder was intact.
Using a CT scan, doctors located the dislocated testicle.
A CT scan is a CT scan that combines a series of X-rays taken from different angles around the body.
The testicle had turned blue, so doctors warmed it until it returned to its usual color and checked to make sure it hadn’t been completely severed.
In an operation that lasted an hour and a half, doctors surgically repositioned the testicle.
They used a surgical procedure called orchidopexy, which is also used in children to correct a common birth defect in which a testicle does not fully descend early in development.
Just six months later, the patient was back to normal, with no lasting damage to his fertility, hormone or sperm production.
In another case, it took almost a year after a motorcycle accident for a patient to be diagnosed with a dislocated testicle, due to other injuries and pooling of blood preventing examination of the scrotum. .
Delayed treatment can have serious consequences and rapid diagnosis is necessary to minimize potential impacts on fertility.
In the United States, there are approximately 89,000 motorcycle accidents each year.