E4953. From Waves to Wisdom: A Sonographic Review of Testicular Trauma
Authors
Colin Uthe;
University of Cincinnati
Claire Weinstein;
University of Cincinnati
Carl Flink;
University of Cincinnati
Jay Gollamudi;
University of Cincinnati
Sadhna Verma;
University of Cincinnati
Background
Testicular trauma is a rare occurrence, constituting less than 1% of all trauma-related cases. Despite its low frequency, timely and accurate diagnosis of testicular trauma is essential for effective treatment. Delays in diagnosis can lead to complications such as diminished fertility, infection, ischemia, infarction, and atrophy. Sonography offers a noninvasive avenue for evaluating scrotal integrity, content, and vascular flow. This educational exhibit aims to provide a comprehensive overview of testicular trauma grading through sonography, coupled with its corresponding clinical management.
Educational Goals / Teaching Points
The primary goal of this exhibit is to explain the existing grading system for testicular trauma as stipulated by the American Association for the Surgery of Trauma Organ Injury Scale (AAST OIS): Testicular Injury, and to provide case-based examples with sonography. Each grade's clinical management will be explored through the presentation of cases, accompanied by their clinical history and injury mechanisms. The exhibit will underscore sonography’s role in guiding management strategies. Lastly, we will explore cases that do not quite fit into the criteria laid out by the AAST OIS and its clinical significance.
Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
This exhibit will highlight the benefits and limitations of sonographic techniques when imaging the scrotum and testicles. Additionally, there will be a thorough summary of normal and abnormal sonographic anatomy of the scrotum and testicles, as well as the significance of the tunica albuginea in relation to testicular trauma.
Conclusion
This educational exhibit offers a thorough exploration of testicular trauma through sonography, intertwined with its clinical implications. Timely and correct identification of testicular trauma are pivotal in facilitating optimal treatment outcomes and avoiding potential complications. The exhibit's comprehensive approach to understanding the grading system, bolstered by demonstrative cases, underscores the significance of accurate diagnosis for guiding effective management strategies.
