Bilateral Traumatic Testicular Dislocation –a Case Report

雙側外傷性睪丸移位－病例報告

10.6452/KJMS.200202.0095

蔡秀男(Hsiu-Nan Tsai)；吳文正(Wen-Jeng Wu)；黃書彬(Shu-Pin Huang)；陳重欽(Chung-Chin Chen)；王起杰(Chii-Jye Wang)；周以和(Yii-Her Chou)；黃俊雄(Chun-Hsiung Huang)

testis ； testicular dislocation ； trauma

The Kaohsiung Journal of Medical Sciences

18卷2期（2002 / 02 / 01）

95 - 98

英文

外傷性睪丸移位是一種罕見的陰囊鈍挫性外傷，一般發生於摩托車車禍所引起的跨坐傷，經常會合併陰囊血腫裂或骨骨折。陰囊外傷造成雙側睪丸移位更為少見。本文報告一例摩托車車禍後造成雙側睪丸移位至鼠蹊部。電腦斷層及彩色都卜勒超音波有助於尋找移位的睪丸，以及偵測其血流變化。對於表淺性睪丸移位，在手術之前可先嘗試緊急徒手復位。由於徒手復住往往會失敗，經過詳細理學檢查以及影像檢查之後，應該考慮進行緊急手術復位。我們建議急診醫療人員應該明瞭外傷病患中，可能有潛在的睪丸移位傷害。由於延遲處理會造成睪丸組織病變，盡早發現並照會泌尿科醫師進行徒手或手術復位是很重要的。

Traumatic testicular dislocation is a rare complication of blunt scrotal trauma. It is usually related to straddle injuries from motorcycle accidents and is commonly accompanied by scrotal hematoma and pelvic fracture. Bilateral dislocation of the testes is relatively rare. We report a rare case of bilateral testicular dislocation after a motorcycle accident. Abdominal computed tomography (CT) and color Doppler ultrasonography are helpful in locating the dislocated testicle and detecting its blood flow. Closed reduction of a superficial testicular dislocation may be attempted first. After appropriate physical examination and image study, emergent surgical reduction should be considered because of the high incidence of failure of closed reduction. We recommend that emergency physicians should be aware of potential testicular injury among trauma cases. Early reduction and early urological consultation are also recommended because of histological changes seen in dislocated testis.