Unusual Case of Penetrating Scrotal Injury in a Child

Scrotal Trauma occurs due to various traumatic mechanisms. Incidence being 1% of all traumas in the United States annually. The peak age range for this injury is 10-30 years. The patient aged 12 years was referred to our hospital. He had fall about 4 hours back on a wooden fence, one of the rods penetrating left scrotum through and through. He was referred with intact rod. After primary survey patient was stable with no other associated injury. Local examination revealed through and through penetration of left scrotum with testis displaced anteriorly (Figures 1 and 2). Testis, epidydimis and spermatic cord were clinically normal. Doppler US of left scrotum was normal. Other investigations were also normal. Scrotal exploration under General anesthesia was carried out. Rod was taken out, all contents were found to be alright, debridement was carried out and scrotal exit and entry wounds were closed. Post-operative course was uneventful and patient was discharged after 2 days. Patient was on regular follow-up for 3 months.