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Year : 2020  |  Volume : 12  |  Issue : 4  |  Page : 320-322

Direct gunshot wound to the testicular artery: A rare case report

Department of Urology, Antonio Cardarelli Hospital, Naples, Italy

Correspondence Address:
Dr. Francesco Chiancone
Department of Urology, Antonio Cardarelli Hospital, Via A. Cardarelli, 9, Naples 80131
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijmbs.ijmbs_90_20

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Gunshot wounds (GSWs) to male genitalia are rare. They have mainly been described in the military and urban trauma settings, such as in sports activities or violent interactions. Male genitalia can be injured in an isolated way or in association with other genitourinary traumatism. GSWs can also determine vascular injuries which can be life-threatening. We report a rare case of direct GSW of the testicular artery and a scrotal hematoma without a primary injury of the testis. We present the case of a 29-year-old man with a direct GSW to the testicular artery. The patient underwent a surgical left inguinal exploration and orchiectomy. Intraoperative findings showed an actively bleeding from the left testicular artery at the level of the superficial inguinal ring. Dartos fascia and tunica vaginalis were thickened and testis was ischemic but not directly injured by GSW. After the surgery, cessation of bleeding and clinical stabilization occurred. The patient was discharged after 5 days. The pathology report showed an extensive ischemic infarction, heavy infiltration by acute inflammatory cells, excessive tissue edema, and congested blood vessels. Surgical exploration should be performed in all cases except for the most insignificant and superficial wound. All patients with a GSW to the external genitalia should be evaluated with an index of suspicion for other associated lesions. In this context, fertility and sexuality can be negatively impacted. Moreover, people with violence-related disabilities manifest a complex array of psychosocial and relational problems.

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