Bilateral testicular dislocation with severe pelvic fracture: a case report

Traumatic testicular dislocation is an extremely rare injury, with fewer than 200 cases reported in the literature to date. Bilateral dislocation accounts for approximately 30% of reported cases. This injury is defined as displacement of the testis from the scrotum to an ectopic location after external compression of the scrotum. Delayed diagnosis and management may result in long-term testicular dysfunction and other serious complications; therefore, prompt recognition and treatment are essential. We report a case of bilateral testicular dislocation in a patient who sustained multiple traumatic injuries, including a severe pelvic fracture, in a motorcycle accident. The patient underwent surgical management for the pelvic fracture, which was accompanied by arterial bleeding and multiple associated fractures. Bilateral testicular dislocation was identified during pelvic surgery, after which bilateral testicular reduction and orchiopexy were performed. This case underscores the need to maintain a high index of suspicion for genitourinary injuries in patients with severe pelvic fractures and illustrates the importance of early diagnosis and timely intervention.