A 15 yo boy with no PMH presents with 24 hours of severe left testicle pain following a kick to the groin.  Left scrotum is firm and tender.  An ultrasound is ordered.  What's the diagnosis?  Scroll down for answer.

Answer: Testicular Rupture

Ultrasound shows intra-testicular hematoma with disruption of tunica albuginea and hematocele consistent with testicular rupture

• If hematocele is appreciated clinically, it is appropriate to consult urology for surgical intervention prior to ultrasound
• Sensitiviy of ultrasound for testicular rupture approaches 100%
• Standard of care is early surgical repair with testicular salvage rate greater than 90% for surgery within 3 days
• Click here to read more on testicular rupture