Testicular Rupture in a young patient: a case report

Testicular rupture after blunt scrotal trauma is characterized by tearing of the tunica albuginea resulting in the extrusion of seminiferous tubules. Imaging plays a crucial role in the assessment of scrotal trauma in particular the ultrasound examination directs patients management towards conservative or surgical treatment. Conventional B-Mode and Color Doppler ultrasound (CDUS) are the main imaging techniques in the evaluation of the testicle in trauma but may underestimate the extent of the injury. In addition to the integrity or interruption of the tunica albuginea, the most important information for the surgeon is the extent of vital testicular tissue, an often difficult assessment with conventional ultrasound examination because the injured testicle is often hypovascular even in vital regions, as a result of testicular edema that compromises vascular flow. The selective use of advanced techniques such as contrast-enhanced ultrasound (CEUS) is important in identifying testicular viablity when CDUS is equivocal. This case study describes the evaluation and management of a blunt testicular trauma in a 15-year-old football player.