PMC6942712_01
Left testicle sagittal plane. There is abnormal tunica albuginea thickening ([) without obvious disruption, a moderate-sized hematocele (*), and a linear hypoechoic fracture line (between white arrows) separating a heterogenous appearing testicular parenchyma. Normal testicular parenchyma is present to the left with an abnormal appearance testicle to the right of the fracture line, consistent with an intratesticular contusion.
CRIEM2019-7058728.001.jpg
PMC6942712_01_CRIEM2019-7058728.001.jpg
fig1
Thickening of the tunica albuginea and subtle contour deformity were consistent with left testicular fracture (Figures 1 and 2).
Left testicle mid-transverse plane. Complex fluid collection with low level echoes surrounding the left testicle consistent with a hematocele (*) with hypoechoic testicular echogenicity consistent with a fracture line (arrow).
CRIEM2019-7058728.002.jpg
PMC6942712_01_CRIEM2019-7058728.002.jpg
fig2
Thickening of the tunica albuginea and subtle contour deformity were consistent with left testicular fracture (Figures 1 and 2).
Right testicle in sagittal and transverse planes. Thin tunica albuginea uniformly surrounding testicle (yellow arrows), homogenous testicular parenchyma echogenicity, and absent hematocele.
CRIEM2019-7058728.003.jpg
PMC6942712_01_CRIEM2019-7058728.003.jpg
fig3
Six months later, the patient had a normal scrotal exam on follow-up, and he was advised on the importance of wearing a protective athletic cup (Figure 3).