Death of a Pedestrian due to Fatal Scrotal Trauma: a Case Report
International Journal of Medical Toxicology and Forensic Medicine,
Vol. 6 No. 2(Spring) (2016),
Background: Male external genitalia comprising penis and scrotum though exposed externally, being a mobile anatomical structure are less prone to injuries during a vehicular accident. Injuries are reported usually during sports activities, violent sexual acts and sometimes vehicular accidents. Injuries to scrotum, penis or adjoining structures may lead to temporary or permanent impotence or infertility or both.
Case Report: A 53 years old male sustained injuries as a result of accident with a car while he was walking along the roadside. He was brought immediately to a tertiary care hospital and was treated by a quick response team of doctors in emergency department. Despite of all resuscitative measures by expert doctors, he could not be revived. Autopsy revealed enlarged bluish red colored scrotum with loss of rugosities associated with multiple other injuries. On dissection of scrotum, it was showing a dark red colored hematoma covering whole scrotum. Most frequently, hematoma covering whole scrotum is due to rupture of tunica albuginea, with tunica vaginalis pooling to the epididymis. Death in this case was attributed to scrotal injury.
Conclusion: Even though blunt trauma is the commonest mechanism causing about 85% of scrotal trauma, it is often missed on routine autopsy procedure. At least in cases of instantaneous death following a vehicular accident, scrotum must be properly examined.
- Scrotal Hematoma
- Blunt Trauma
- Instantaneous Death
How to Cite
Mante S, Yeboah E, Adusei B, Edusa S. Foreign body in scrotum following a boat engine blast accident. Ghana Med J. 2013;47(1):50-52.
Khan MK. Unusual Scrotal Injury by Cycle Hand Brake-A Case Report. International Journal of Medical Toxicology and Forensic Medicine. 2014;4(1):23-26.
Wolf-Bernhard S, Frank H. comhaire, Timothy B. Hargreave. Andrology for the Clinician. Germany: Springer; 2006. Book.
Van-Der-Horst C, Martinez-Portillo F, Seif C, Growth W, Junemann K. Male genital injury: Diagnostics and treatment. BJUI. 2004;93(7):927-30.
Testicle. [Internet] 2015; Available from: https://en.wikipedia.org/wiki/Testicle.
Seng YJ, Moissinac K. Trauma induced testicular torsion, a reminder for unwary. J Accid Emerg Med. 2000;17:381-2.
McAninch JW, Kanh RI, Jeffery RB, Laingh FC, Krieger MJ. Major traumatic and septic genital injuries. J Trauma. 1984;24:291-8.
Cass AS, Luxenberg M. Testicular injuries. Urology. 1991;37:528530.
Scrotch D. Self-castration. Letter to the Editor. JAMA. 1901;36.370.
Chakravarthy B, Lotfipour Sh, E. Vaca F. Pedestrian injuries: Emergency care considerations. Cal J Emerg Med. 2007;8(1):15-21.
- Abstract Viewed: 2932 times
- PDF Downloaded: 283 times