Quiz: Testicular trauma in 21-year-old

August 11, 2020

A 21-year-old male presented to the emergency department for evaluation of testicular pain and swelling 5 days after being struck in the groin.

A 21-year-old male presented to the emergency department for evaluation of testicular pain and swelling 5 days after being struck in the groin. He had no pain for the first few days after his trauma and his pain was controlled in the emergency department during consultation. He was nontender on exam, though had a firm right testicle on palpation with no overlying skin changes. He had a scrotal ultrasound (Figure) that was concerning for possible testicular rupture with hematoma by read at the outside hospital. What is of most significant concern for this patient?

A. Testicular rupture

B. Testicular malignancy

C. Infected hematocele

D. Complex hydrocele


Suggested reading

Merzenich H, Ahrens W, Stang A. Sorting the hype from the facts in testicular cancer: Is testicular cancer related to trauma? J Urol. 2000;164(6):2143-4

Van Horn is a urology resident at the University of Massachusetts, Worcester. Sorokin, assistant professor at the University of Massachusetts, is section editor for Urology Times® Clinical Quiz.