ABC-Ultrasound

Testicular Trauma on Ultrasound
Key Findings:

Irregular contour with discontinuity of the tunica albuginea in both te**es — consistent with bilateral testicular rupture

Multiple hypoechoic areas within both te**es — suggestive of bilateral intratesticular haematomas (right > left)

Heterogeneous echotexture of both te**es. Doppler demonstrates preserved flow within the spermatic cords; however, reduced and heterogeneous intratesticular perfusion, concerning for evolving ischemia

Complex fluid surrounding the right te**is — likely right-sided haematocele

Findings are highly concerning for testicular rupture with compromised perfusion.
Urgent urological evaluation and surgical exploration are recommended.

Teaching Point:
Discontinuity of the tunica albuginea with altered testicular contour is a key ultrasound sign of testicular rupture.