Pediatric emergency medicine trisk 3329 3329
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SCROTUM
Goal of Treatment
The goals of the acute management of children with scrotal injuries are to
determine the extent of injury, evaluating for testicular injury and, in consultation
with urology, ensuring adequate workup to determine definitive care.
FIGURE 108.5 Posterior urethral disruption and pelvic fracture. Computed tomography of
pelvis shows extravasation of contrast material from posterior urethra into the surrounding
tissues.
CLINICAL PEARLS AND PITFALLS
Scrotal trauma may occur as a result of straddle injuries or bicycle
accidents, during sporting events or less commonly, from animal bites or
machine injuries. The patient may present with scrotal tenderness,
edema, and ecchymosis. Potential injuries include skin or dartos
ecchymosis and lacerations, intrascrotal hematomas, testicular
hematomas, testicular dislocation, and testicular rupture. In addition, a
testicle may torse after trauma.
Clinical Considerations
Clinical Recognition
