Bilateral abdominal spermatic cord section following peno-scrotal injury

Abstract

A 16-year-old man presented to our Emergency hospital for a major traumatic scalp injury of pubic and scrotal region; this occurred as a consequence of an autonomous motorcycle accident. Early surgical esploration showed the bilateral section of spermatic cord in correspondence of the abdominal-pelvic tract; a conservative management was adopted and the patient underwent bilateral intratesticular sperm biopsy for cryopreservation. In the presence of extensive scalp injury of the pubic and scrotum skin a early surgical exploration should be performed and the multidisciplinary decision making should take in account comorbidity, age and impact on the quality of life.

Keywords: Scrotal scalp trauma; Spermatic cord section; Testis injury; Trauma of the penis.

Fig. 1

Clinical presentation of peno-scrotal scalp trauma.

Fig. 2

Bilateral abdominal spermatic cord section.

Fig. 3

Abdominal surgery approach to detect proximal bilateral spermatic cord; both testes did not showed macroscopic necrotic color (12 hours from the trauma). (For interpretation of the references to color in this figure legend, the reader is referred to the Web version of this article.)