PMC7545980_01
intraoperative photography showing complete damage to the right testis
PAMJ-36-268-g001.jpg
PMC7545980_01_PAMJ-36-268-g001.jpg
F1
In physical exam, his vital signs seemed normal (blood pressure: 120/75, pulse rate: 110 beats per minute), his abdomen was soft without tenderness, his scrotum had a big laceration, and both testes were completely ruptured (Figure 1, Figure 2).
intraoperative photography showing complete damage to the left testis and seminiferous tubules through the defect (extruded seminiferous tubules)
PAMJ-36-268-g002.jpg
PMC7545980_01_PAMJ-36-268-g002.jpg
F2
In physical exam, his vital signs seemed normal (blood pressure: 120/75, pulse rate: 110 beats per minute), his abdomen was soft without tenderness, his scrotum had a big laceration, and both testes were completely ruptured (Figure 1, Figure 2).
intraoperative photography showing the repaired testes A) left testis; B) right testis
PAMJ-36-268-g003.jpg
PMC7545980_01_PAMJ-36-268-g003.jpg
F3
Therefore, closure of the tunica albuginea using tunica vaginalis as a graft tissue was done (the free edges of the parietal tunica vaginalis was used to create neocapsulae around the testis parenchymal tissue) by using Vicryl suture bilaterally, and the drain was left in situ (Figure 3).
ultrasonography of the right testis showing a normal right testis with normal blood vessel follow and minimal atrophic change 4 months after the procedure
PAMJ-36-268-g004.jpg
PMC7545980_01_PAMJ-36-268-g004.jpg
F4
Follow-up Doppler ultrasonography at 4 months showed a viable right testis with minimal atrophic change (Figure 4).