陰嚢水腫の合併により診断が困難であった外傷性精巣破裂の1例

Abstract

A 17-year-old man presented with right hydrocele because of an athletic injury. His scrotum was hitwith a ball 2 months ago while playing baseball. He was diagnosed with post-traumatic hydrocele andunderwent needle puncture at another hospital 1 month after the trauma. However, the hydrocele did notimprove. Therefore, he was referred to our hospital for surgical treatment. For diagnosis of the traumatichydrocele testis, a hydrocelectomy was scheduled. When we opened the tunica vaginalis, we realized thatthe tunica albuginea had been ruptured and the testicular parenchyma had gushed out. We tried to replaceall the escaped testicular parenchyma into the tunica albuginea, but it was impossible. Therefore were moved some of the redundant testicular parenchyma, and replaced the remnants into the tunica albuginea. After the operation, right hydrocele and testicular atrophy did not occur. Traumatic testicular rupture complicated with hydrocele is rare.