Ver el código de «Testicular trauma»

==Background==
[[File:Gray1144.png|thumb|Scrotal anatomy]]
[[File:Figure 28 01 02.jpg|thumb|Scrotal anatomy]]
[[File:Figure 28 01 03.jpg|thumb|Testicular anatomy]]
[[File:Illu testis surface.jpg|thumb|1. Epididymis 2. Head of epididymis 3. Lobules of epididymis 4. Body of epididymis 5. Tail of epididymis 6. Duct of epididymis 7. Deferent duct (ductus deferens or vas deferens)]]

==Clinical Features==
*Blunt trauma due to impingement against symphysis pubis
**Will have contusion or rupture based on whether tunica albuginea is disrupted
**Large, blue, tender scrotal mass (hematocele)
*Testicular dislocation
**Absent testicle

==Differential Diagnosis==
{{Lower GU trauma DDX}}
{{Testicular DDX}}

==Evaluation==
[[File:PMC4332640 10.1177 1941738114537786-fig4.png|thumb|Images of the for testicular trauma: normal anatomy, testicular rupture, hematoma, and torsion.]]
[[File:PMC4332640 10.1177 1941738114537786-fig2.png|thumb|Sagittal ultrasound demonstrating a boundary between the subcapsular hematoma and testicle (white arrows). There is a loss of the clear tunica vaginalis along the right portion of the image, which is concerning for testicular rupture (orange arrow), compared with the intact tunica vaginalis (blue arrow).]]
*[[Scrotal ultrasound]] required for all blunt testicular injuries
**Reliable in diagnosing ruptured testes<ref>Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.</ref>

==Management==
*Most testicular injuries are managed conservatively
**[[Analgesia]], ice, elevation, scrotal support, urology follow up
*Consult Urology for urgent operative care
**[[Testicular rupture]]
**Testicular dislocation (absence)

==Disposition==
*See above. Depends on underlying diagnosis identified.

==See Also==
*[[GU Trauma]]
*[[Testicular diagnoses]]

==External Links==

==References==
<references/>

[[Category:Urology]]
[[Category:Trauma]]