Bilateral traumatic testicular dislocation associated with an unstable pelvic ring injury: a rare case report and literature review.

Peter V Giannoudis, Konstantinos Giatroudakis, Spyridon P Galanakos, Theodoros K Kateros, Konstantinos Kateros

Abstract readCase Reports

In one paragraph

Article in Trauma case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 authors.

Peter V GiannoudisAcademic Department of Trauma & Orthopaedics, Leeds Teaching Hospitals, University of Leeds, Leeds, UK.

Konstantinos GiatroudakisUniversity Orthopaedic Surgery Department, Faculty of Medicine, Democritus University of Thrace, Alexandroupolis, Greece.

Spyridon P GalanakosOrthopaedic Department, Primary Health Care Corporation, Athens, Greece.

Theodoros K Kateros1st Orthopaedic Surgery Department, Athens General Hospital "G. Gennimatas", Athens, Greece.

Konstantinos Kateros1st Orthopaedic Surgery Department, Athens General Hospital "G. Gennimatas", Athens, Greece.

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6 · The paper itself

Abstract

Traumatic testicular dislocation is a rare complication of high-energy blunt trauma, most commonly occurring in motorcycle collisions. When associated with pelvic ring injuries, diagnosis may be delayed due to haemodynamic instability, soft-tissue swelling and distracting injuries. We report a 20-year-old man who sustained an unstable anteroposterior compression pelvic ring injury following a motorcycle accident, complicated by bilateral extra-scrotal testicular dislocation. Initial clinical assessment was limited by extensive scrotal haematoma. Cross-sectional imaging and Doppler ultrasonography demonstrated bilateral displacement of the testes into the superficial inguinal regions with reduced perfusion. The patient underwent combined orthopaedic and urological surgical management, including definitive pelvic fixation and bilateral orchidopexy. Postoperative imaging confirmed restoration of normal testicular position and blood flow. At 12-month follow-up, normal urogenital, endocrine and sexual function were preserved.

Indexed as

Anteroposterior compression injuryGenitourinary traumaPelvic ring fractureTraumatic testicular dislocation

Identifiers

PMID42221140

DOI10.1016/j.tcr.2026.101364

PMCPMC13217837

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