Obstructive azoospermia caused by epididymis injury with testicle rupture on the other side

IF 1.5 Q2 MEDICINE, GENERAL & INTERNAL Acute Medicine & Surgery Pub Date : 2023-12-31 DOI:10.1002/ams2.919

Takayuki Ueda, Masato Yanagi, Akifumi Katsu, Hiroyoshi Kono, Ryoji Kimata, Tsutomu Hamasaki, Yukihiro Kondo

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Abstract

Background

Epididymal injuries without ipsilateral injuries of the testicles are rare. We report a case of a solitary right epididymal injury complicated by left testicular rupture.

Case Presentation

A 21-year-old man experienced scrotal trauma caused by a motorcycle accident. Bilateral swelling and tenderness of the scrotum were observed. Ultrasonography and computed tomography revealed a ruptured left testicle; therefore, surgery was performed. During surgery, the left testicle was excised because it was completely ruptured, and the right testicle and epididymis were evaluated to identify the cause of swelling of the right scrotum. The right testis was not injured; however, the right epididymis was lacerated. Subsequently, the lacerated right epididymis was repaired using sutures. A semen analysis performed at 1, 4, and 7 months after surgery revealed the absence of sperm in the semen.

Conclusion

Epididymal injuries should be considered as differential diagnoses for scrotal trauma.

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附睾损伤导致阻塞性无精子症，另一侧睾丸破裂。

背景：附睾损伤而没有同侧睾丸损伤的情况非常罕见。我们报告了一例单发右侧附睾损伤并发左侧睾丸破裂的病例：病例介绍：一名 21 岁男子因摩托车事故造成阴囊外伤。观察到双侧阴囊肿胀和触痛。超声波和计算机断层扫描显示左侧睾丸破裂，因此进行了手术。手术中，由于左侧睾丸完全破裂，因此切除了左侧睾丸，并对右侧睾丸和附睾进行了评估，以确定右侧阴囊肿胀的原因。右侧睾丸没有受伤，但右侧附睾被撕裂。随后，使用缝合线修复了撕裂的右侧附睾。术后 1 个月、4 个月和 7 个月的精液分析显示，精液中没有精子：结论：附睾损伤应作为阴囊外伤的鉴别诊断。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acute Medicine & Surgery MEDICINE, GENERAL & INTERNAL-

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12.50%

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53 weeks