Ultrasound of a patient with penetrating scrotal trauma: finding a needle in a haystack

Abstract

We present a case of a 27-year-old man who referred to the Emergency Department complaining scrotal pain. He mentioned a sharp penetrating scrotal trauma occurred at work. Clinical examination showed mild scrotal tenderness. The patient underwent scrotal ultrasound that showed only a suspicious foreign body in the tunica vaginalis. A scrotal surgical exploration was performed and a nail was confirmed at the level of the tunica vaginalis.

Intrascrotal self insertion of foreign body: Form of entry to schizophrenia

“…Prompt surgical intervention may be necessary in cases where the injury is deep or involves important structures such as the testes or urethra. 2 In some cases, conservative management may be sufficient, but close observation and follow-up are necessary to ensure that the injury is healing properly and that there are no complications.…”