Traumatic Testicular Avulsion Following a Motorcycle Accident in Adolescent: A Case Report
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Abstract
Traumatic testicular avulsion is a rare and severe urological emergency resulting from blunt scrotal trauma. It necessitates immediate diagnosis and surgical intervention. This case report describes the presentation and management of a complete testicular avulsion in an adolescent following a motorcycle accident. A 15-year-old male was referred to Dr. Moewardi General Hospital after a motorcycle accident where he sustained a direct impact to his lower abdomen. Open wound on the right scrotum with complete detachment of the right testis, exposure of the spermatic cord, and irregular wound edges was found. The patient underwent emergency surgical exploration, which included debridement, ligation of the spermatic cord, and repair of the scrotal wound. The procedure was successful, and the patient was managed postoperatively with antibiotics and analgesics. Discussion: Testicular avulsion following a motorcycle accident is a urologic emergency. Management requires a multidisciplinary approach to address bleeding control, testicular function preservation, infection prevention, and scrotal reconstruction.
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References
Chiu YC, Lin YK. Traumatic testicular dislocation: A case report and literature review. Medicine (Baltimore). 2022;101(18):e29137. doi:10.1097/MD.0000000000029137.
Jha R, Manandhar K, Bhatta BR, Shah VK, Ghimire SK, Shrestha A. A rare and unusual presentation: Testicular amputation with intact scrotal wall following blunt trauma – A case report. Int J Surg Case Rep. 2025;133:111596. doi:10.1016/j.ijscr.2025.111596.
Chi ZP. Penile traumatic testicular dislocation: A case report. J Med Case Rep. 2024;18(1):152. doi:10.1177/03000605241232916.
Traore TM, Kapseu SK, Dikongue FD. Scrotal trauma in a motorcycle accident leading to a partial orchidectomy: Case report. Open J Urol. 2023;13(12):559–64. doi:10.4236/oju.2023.1312061.
emDocs. EM@3AM: Testicular Rupture. emDocs. 2021 May 8. Available from: https://www.emdocs.net/em3am-testicular-rupture/.
Medscape. Testicular Trauma Treatment & Management. Medscape. 2022. Available from: https://emedicine.medscape.com/article/441362-treatment.
Sow A, Traore TM, Ba A, Diallo Y, Diallo A. Penetrating scrotal injury: Two unusual case reports in children and brief review of literature. Afr J Urol. 2025;31(1):33. doi:10.1186/s12301-025-00400-7.
Medscape. Testicular Trauma Overview. Medscape. 2022. Available from: https://emedicine.medscape.com/article/441362-overview.
Shrestha D, Pradhan R, Adhikari S, Maharjan R, Regmi S. Testicular dislocation following pelvic ring injury in the setting of bell clapper deformity: A case report. Clin Case Rep. 2025;13(8):e8761. doi:10.1002/ccr3.8761.