Traumatic testicular ectopia: Traumatic dislocation of testis into inguinal canal, abdominal cavity, or perineum
IMAGING
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CT Findings
MR Findings
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DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
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Presentation
Demographics
Natural History & Prognosis
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DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
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Selected References
Choi HH et al: How common are traumatic injuries to the epididymis? A study of prevalence, imaging appearance, and management implications. Emerg Radiol. 28(1):31-6, 2020
Yusuf GT et al: The role of contrast-enhanced ultrasound (CEUS) in the evaluation of scrotal trauma: a review. Insights Imaging. 11(1):68, 2020
Blok D et al: Testicular rupture following blunt scrotal trauma. Case Rep Emerg Med. 2019:7058728, 2019
Rebik K et al: Scrotal ultrasound. Radiol Clin North Am. 57(3):635-48, 2019
Wang A et al: A review of imaging modalities used in the diagnosis and management of scrotal trauma. Curr Urol Rep. 18(12):98, 2017
Dalton DM et al: Aetiology, epidemiology and management strategies for blunt scrotal trauma. Surgeon. 14(1):18-21, 2016
Pesch MH et al: The case of the missing testicle: blunt scrotal trauma in the pediatric emergency department. Pediatr Emerg Care. 30(11):824-5, 2014
D'Andrea A et al: US in the assessment of acute scrotum. Crit Ultrasound J. 5 Suppl 1:S8, 2013
Delaney LR et al: Ultrasound of the pediatric scrotum. Semin Ultrasound CT MR. 34(3):248-56, 2013
Matzek BA et al: Traumatic testicular dislocation after minor trauma in a pediatric patient. J Emerg Med. 45(4):537-40, 2013
Rao MS et al: Sonography of scrotal trauma. Indian J Radiol Imaging. 22(4):293-7, 2012
Widni EE et al: Analysis of nonsexual injuries of the male genitals in children and adolescents. Acta Paediatr. 100(4):590-3, 2011
Cubillos J et al: A conservative approach to testicular rupture in adolescent boys. J Urol. 184(4 Suppl):1733-8, 2010
Bhatt S et al: Role of US in testicular and scrotal trauma. Radiographics. 28(6):1617-29, 2008
Lee SH et al: Trauma to male genital organs: a 10-year review of 156 patients, including 118 treated by surgery. BJU Int. 101(2):211-5, 2008
Deurdulian C et al: US of acute scrotal trauma: optimal technique, imaging findings, and management. Radiographics. 27(2):357-69, 2007
Buckley JC et al: Diagnosis and management of testicular ruptures. Urol Clin North Am. 33(1):111-6, vii, 2006
Buckley JC et al: Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol. 175(1):175-8, 2006
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KEY FACTS
Terminology
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TERMINOLOGY
Definitions
Hydrocele: Simple fluid between layers of tunica vaginalis
Hematocele: Blood products between layers of tunica vaginalis
Hematoma: Contained collection of blood products within testis, epididymis, or scrotal wall; can be multifocal
Testicular fracture: Disruption of testicular parenchyma
Testicular rupture: Disruption of tunica albuginea, often with extrusion of testicular parenchyma
Devascularization: Vascular pedicle injury causing absent or diminished blood flow without true torsion (twisting)
Traumatic testicular ectopia: Traumatic dislocation of testis into inguinal canal, abdominal cavity, or perineum
IMAGING
General Features
Ultrasonographic Findings
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
Choi HH et al: How common are traumatic injuries to the epididymis? A study of prevalence, imaging appearance, and management implications. Emerg Radiol. 28(1):31-6, 2020
Yusuf GT et al: The role of contrast-enhanced ultrasound (CEUS) in the evaluation of scrotal trauma: a review. Insights Imaging. 11(1):68, 2020
Blok D et al: Testicular rupture following blunt scrotal trauma. Case Rep Emerg Med. 2019:7058728, 2019
Rebik K et al: Scrotal ultrasound. Radiol Clin North Am. 57(3):635-48, 2019
Wang A et al: A review of imaging modalities used in the diagnosis and management of scrotal trauma. Curr Urol Rep. 18(12):98, 2017
Dalton DM et al: Aetiology, epidemiology and management strategies for blunt scrotal trauma. Surgeon. 14(1):18-21, 2016
Pesch MH et al: The case of the missing testicle: blunt scrotal trauma in the pediatric emergency department. Pediatr Emerg Care. 30(11):824-5, 2014
D'Andrea A et al: US in the assessment of acute scrotum. Crit Ultrasound J. 5 Suppl 1:S8, 2013
Delaney LR et al: Ultrasound of the pediatric scrotum. Semin Ultrasound CT MR. 34(3):248-56, 2013
Matzek BA et al: Traumatic testicular dislocation after minor trauma in a pediatric patient. J Emerg Med. 45(4):537-40, 2013
Rao MS et al: Sonography of scrotal trauma. Indian J Radiol Imaging. 22(4):293-7, 2012
Widni EE et al: Analysis of nonsexual injuries of the male genitals in children and adolescents. Acta Paediatr. 100(4):590-3, 2011
Cubillos J et al: A conservative approach to testicular rupture in adolescent boys. J Urol. 184(4 Suppl):1733-8, 2010
Bhatt S et al: Role of US in testicular and scrotal trauma. Radiographics. 28(6):1617-29, 2008
Lee SH et al: Trauma to male genital organs: a 10-year review of 156 patients, including 118 treated by surgery. BJU Int. 101(2):211-5, 2008
Deurdulian C et al: US of acute scrotal trauma: optimal technique, imaging findings, and management. Radiographics. 27(2):357-69, 2007
Buckley JC et al: Diagnosis and management of testicular ruptures. Urol Clin North Am. 33(1):111-6, vii, 2006
Buckley JC et al: Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol. 175(1):175-8, 2006
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