case_images: PMC11804949_01
case_images: Testicular hematocele.. A longitudinal gray-scale ultrasound image revealed the presence of echogenic fluid (asterisk) in the right hemiscrotum, suggestive of a hematocele. Additionally, there was scrotal wall thickening.
case_images: cureus-0017-00000078688-i01.jpg
case_images: PMC11804949_01_cureus-0017-00000078688-i01.jpg
case_images: FIG1
case_images: Grayscale ultrasonography using a linear 12 MHz probe revealed an enlarged right testicle surrounded by echogenic fluid; a finding suggestive of hematocele (Figure 1).
case_images: Testicular rupture.. Gray-scale and color Doppler image of the right testis exhibited focal discontinuity of the tunica albuginea (arrow) in association with heterogeneous testicular echotexture.
case_images: cureus-0017-00000078688-i02.jpg
case_images: PMC11804949_01_cureus-0017-00000078688-i02.jpg
case_images: FIG2
case_images: The hyperechoic linear border of the testis indicative of the tunica albuginea was breached in the setting of a testicular tear (Figure 2).
case_images: Focal testicular lesions.. Small-sized, scattered, intraparenchymal, echogenic testicular areas (between cursors), indicative of focal hematomas.
case_images: cureus-0017-00000078688-i03.jpg
case_images: PMC11804949_01_cureus-0017-00000078688-i03.jpg
case_images: FIG3
case_images: A few scattered, focal, hyperechoic, intraparenchymal areas represented small intratesticular hematomas (Figure 3).
case_images: Testicular heterogeneity.. The sagittal ultrasound color Doppler plane demonstrated a heterogeneous and avascular echotexture of the upper pole of the right testis in the setting of a larger testicular hematoma contusion.
case_images: cureus-0017-00000078688-i04.jpg
case_images: PMC11804949_01_cureus-0017-00000078688-i04.jpg
case_images: FIG4
case_images: On color Doppler exam, a large echogenic area was revealed at the upper pole of the testis lacking vascularity (Figure 4).
case_images: Release - debridement of necrotic testicular tissue.
case_images: cureus-0017-00000078688-i05.jpg
case_images: PMC11804949_01_cureus-0017-00000078688-i05.jpg
case_images: FIG5
case_images: Removal of all of the necrotic forced-out seminiferous tubules was performed along with the primary suture of the tunica albuginea (Figures 5, 6).
case_images: Primary closure of tunica albuginea.
case_images: cureus-0017-00000078688-i06.jpg
case_images: PMC11804949_01_cureus-0017-00000078688-i06.jpg
case_images: FIG6
case_images: Removal of all of the necrotic forced-out seminiferous tubules was performed along with the primary suture of the tunica albuginea (Figures 5, 6).
case_images: Follow-up scan.. A six-month follow-up ultrasound on the sagittal plane showed a thin, echogenic tunica albuginea uniformly surrounding both testicles.
case_images: cureus-0017-00000078688-i07.jpg
case_images: PMC11804949_01_cureus-0017-00000078688-i07.jpg
case_images: FIG7
case_images: A thin tunica albuginea uniformly surrounding the right testis was shown (Figures 7, 8).
case_images: Six-month follow-up imaging evaluation.. Normalization of intraparenchymal vasculature of the right testis.
case_images: cureus-0017-00000078688-i08.jpg
case_images: PMC11804949_01_cureus-0017-00000078688-i08.jpg
case_images: FIG8
case_images: A thin tunica albuginea uniformly surrounding the right testis was shown (Figures 7, 8).