Functional Castration from Blunt-force Trauma to Motorcycle Gas Tank from a Car-versus-motorcycle MVA
DOI:
https://doi.org/10.46570/utjms.vol6-2019-266Keywords:
testicular trauma, testicular rupture, acquired hypogonadismAbstract
We present a case of bilateral testicular rupture with significant extrusion and seminiferous tubule loss in an otherwise healthy 26-year-old male as the result of a car-versus-motorcycle accident. The patient was the lone driver of a motorcycle that was T-boned, resulting in significant scrotal trauma necessitating operative intervention. Because of this, he developed subsequent severe hypogonadism, which improved with exogenous testosterone administration. We undertook a literature review, which revealed that blunt trauma is an extremely uncommon cause of acquired hypogonadism.
References
Dandona P, Rosenberg MT (2010) A practical guide to male hypogonadism in the primary care setting. Int J Clin Pract. 64(6):682-96. DOI: https://doi.org/10.1111/j.1742-1241.2010.02355.x
Ezra N, Afari A, Wong J (2009) Pelvic and scrotal trauma: CT and triage of patients. Abdominal Imaging. 34(4):541-544. doi:10.1007/s00261-008-9417-3. DOI: https://doi.org/10.1007/s00261-008-9417-3
Carvalho NMN de, Marques ACX, Souza IT de, et al (May 2018) Bilateral Traumatic Testicular Dislocation. Case Reports in Urology. 1-5. doi:10.1155/2018/7162351. DOI: https://doi.org/10.1155/2018/7162351
Addas F, Yan S, Hadjipavlou M, et al (November 2018) Testicular Rupture or Testicular Fracture? A Case Report and Literature Review. Case Reports in Urology. 1-3. doi:10.1155/2018/1323780. DOI: https://doi.org/10.1155/2018/1323780
Ihama Y, Fuke C, Miyazaki T (September 2007) A Two-Rider Motorcycle Accident Involving Injuries around Groin Area in Both the Driver and the Passenger. Legal Medicine. 9(5): 274–277. doi:10.1016/j.legalmed.2007.03.003. DOI: https://doi.org/10.1016/j.legalmed.2007.03.003
Altarac S (1994) Management of 53 Cases of Testicular Trauma. European Urology. 25(2): 119–123. doi:10.1159/000475264. DOI: https://doi.org/10.1159/000475264
Cass AS, and Luxenberg M (June 1991) Testicular Injuries. Urology. 37(6):528–530. doi:10.1016/0090-4295(91)80317-z. DOI: https://doi.org/10.1016/0090-4295(91)80317-Z
Lysiak, J, Nguygen Q, Kirby J, et al (2003) Ischemia-reperfusion of the murine testis stimulates the expression of proinflammatory cytokines and activation of c-jun N-terminal kinase in a pathway to E-selectin expression. Biology of Reproduction. 69(1):202-210. Doi:10.1095/biolreprod.102.013318. DOI: https://doi.org/10.1095/biolreprod.102.013318
Cross, J, Berman L, Elliott P, et al (1999) Scrotal trauma: a cause of testicular atrophy. Clinical Radiology. 54(5):317-320. DOI: https://doi.org/10.1016/S0009-9260(99)90562-7
Redmond, EJ, MacNamara, FT, Giri, SK, et al (2018) Blunt testicular trauma – is surgical exploration necessary? Ir J Med Sci 187: 1109. https://doi.org/10.1007/s11845-017-1724-7 DOI: https://doi.org/10.1007/s11845-017-1724-7
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