Published: 2020-02-26

A rare case of testicular dislocation with inguinal hernia as a delayed presentation after scrotal trauma

Sanjana Kumar, Jainendra K. Arora, Ajay Kumar


Testis can be damaged either by blunt or penetrating trauma. Traumatic dislocation of testis is rare sequelae of scrotal trauma. Patients usually present at the time of injury and diagnosis is usually made on emergent basis. However, delayed or missed diagnosis may occur as scrotal injury may be overlooked in the presence of other associated injuries or due to lack of awareness of its possible occurrence. In this article, we report a case of 60 years old gentleman who presented with inguinal hernia with empty left hemiscrotum with history of blunt injury to scrotum 15 years back. The peculiarity of case lies in the fact that the dislocation of testis was diagnosed 15 years after trauma and the displaced testis was found to be atrophic.


Atrophic testis, Inguinal hernia, Traumatic dislocation

Full Text:



Summerton DJ, Djakovic N, Kitrey ND, Kuehhas FE, Lumen N, Serfetinides E, et al. Guidelines on urological trauma. Eur Urol. 2012;62(4):628-39.

Ian Eeardley. Testis and Scrotum. Bailey and Love’s Short Practice of Surgery. 27th ed. CRC Press; 2018: 1497-1512.

Vasudeva P, Dalela D, Singh D, Goel A. Traumatic testicular dislocation: A reminder for the unwary. J Emerg, Trauma Shock. 2010;3(4):418.

Carvalho NM, Marques AC, Souza IT, Soares VG, Nascimento FG, Pinto LM, et al. Bilateral Traumatic Testicular Dislocation. Case Rep Urol. 2018;2018.

Tai YS, Chen YS, Tsai PK, Wong WJ. Traumatic testicular dislocation: A rare occurrence of blunt scrotal injury. Urol Sci. 2014;25(4):158-60.

Claubry E. Observation on a sudden retrocession of the two testicles in the abdomen, following a violent compression of the lower part of the abdominal wall by a cartwheel. J Gen Med Chir Pharmacol. 1818;64:325.

Schwartz SL, Faerber GJ. Dislocation of the testis as a delayed presentation of scrotal trauma. Urology. 1994;43(5):743-5.

Bromberg W, Wong C, Kurek S, Salim A. Traumatic bilateral testicular dislocation. J Trauma Acute Care Surg. 2003;54(5):1009-11.

D'souza V, Thomas DA, Vinod J, Diaz E. Traumatic superficial subcutaneous testicular dislocation. Eurorad. 2012; case 10256:1563-4086.

Zavras N, Siatelis A, Misiakos E, Bagias G, Papachristos V, Machairas A. Testicular dislocation after scrotal trauma: a case report and brief literature review. Urology Case Rep. 2014;2(3):101-4.