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7.11 Blunt scrotal trauma


Presentation

Blunt injuries to the scrotum usually occur in patients less than 50 years of age as a result of an athletic injury, a straddle injury, an automobile or industrial accident, or an assault. Patients present with various degrees of pain, ecchymosis and swelling.

What to do:

What not to do:

Discussion

The majority of blunt testicular injuries result in either contusions or ruptures. If doppler or testicular scan studies demonstrate a serious injury, then early exploration, evacuation of hematoma, and repair of testicular rupture tend to result in an earlier return to normal activity, less infection, and less testicular atrophy.

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from Buttaravoli & Stair: COMMON SIMPLE EMERGENCIES
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Craig Feied, MD
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