Post-Traumatic Scrotal Evisceration: A rare consequence of blunt perineal injury
1 Emergency and Trauma Unit, St. Martins Catholic Hospital, Agroyesum, Amansie South District, Ashanti Region, Ghana.
2 Emergency Room, Ahad Al-Masaraha General Hospital, Ahad Al-Masaraha, Jizan Region, Kingdom of Saudi Arabia.
Case Study
World Journal of Advanced Research and Reviews, 2022, 13(03), 658-661
Publication history:
Received on 18 February 2022; revised on 24 March 2022; accepted on 29 March 2022
Abstract:
Scrotal evisceration is a rare urological emergency which may occur as a result of a penetrating or blunt perineal injury. To preserve testicular viability and prevent infection, emergent surgical intervention is critical. We present a case of a 36-year-old farmer, who sustained a traumatic scrotal evisceration after a fall astride a wooden stump while working in his farm. The patient presented with a stable hemodynamic status, fully conscious, and without evidence of additional injuries. Examination revealed a 4cm anterior right hemiscrotal laceration with protrusion of the entire scrotal contents. Vascular structures were preserved and both testes appeared viable. Emergency room blood work-up and urinalysis were unremarkable. Scrotal ultrasonography showed evidence of an intact urethral and testicular anatomy. A broad-spectrum intravenous antibiotics and tetanus prophylaxis were administered, the wound was thoroughly irrigated and debrided. The exteriorized scrotal content was again inspected before it was gently reduced into the sac. The scrotum was repaired in anatomic shape with absorbable sutures. Postoperative recovery was satisfactory and uneventful, with adequate wound healing and preserved testicular function confirmed at six-week follow-up clinic visit. This case report emphasizes testicular resilience in the face of significant soft-tissue disruption and highlights the importance of early presentation and emergent multidisciplinary intervention including wound irrigation, debridement, infection and hemostatic control, as well as careful tissue reconstruction as critical steps in management. Although the presentation may be dramatic, appropriate timely intervention will help achieve full structural and functional recovery with excellent cosmetic results.
Keywords:
Scrotal Evisceration; Genitourinary Trauma; Scrotal Reconstruction; Testicular Injury; Farm Accident
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