Intra-abdominal testicular dislocation with vas deferens rupture in an open-book pelvic fracture: a case report
DOI:
https://doi.org/10.64575/0qwad947Keywords:
Open-book pelvic injury, vas deferens rupture, testicular dislocation, genitourinary injury, intra-abdominal, anteroposterior compression (APC) pelvic injury, INFIXAbstract
Open-book pelvic fractures represent high-energy injuries associated with significant instability and a high incidence of concomitant visceral trauma. Although genitourinary injuries are commonly reported in anteroposterior compression-type pelvic ring disruptions, testicular dislocation with an associated vas deferens rupture is exceptionally rare. In this case report, we present the case of a 19-year-old male who sustained an unstable open-book pelvic fracture following a motor vehicle collision. This rare case underscores the importance of meticulous intraoperative assessment and comprehensive evaluation of soft-tissue structures in unstable pelvic ring injuries, highlighting that rare but clinically significant genitourinary injuries may be encountered during definitive orthopedic management.
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