A 67-year-old man died after a motorbike accident that squashed his scrotum and dislocated his testicle.
He suffered severe internal injuries and bleeding, which triggered organ failure.
He was hospitalised almost immediately and had an array of checks and scans but later died while undergoing tests.
Medics reported that the ‘violent’ impact of his scrotum against his bike’s fuel tank forced his testicle into his groin and triggered ‘severe’ internal bleeding.
A team from Tongji Medical College wrote that the crash resulted in ‘violent impact’ between the man’s perineum and the motorbike fuel tank (circled) – known as a straddle injury
The man was speeding on his motorbike on a city road when he ‘violently collided’ with the back of a truck, according to a case report in the Journal of Forensic and Legal Medicine.
He complained of abdominal pain, difficulty moving his waist, pain in his left knee and tailbone, inability to sit up and dizziness after the crash.
Around an hour later, he was admitted to hospital.
Medics noted that the patient had bruising around his abdomen but that he had a normal temperature, heart rate and sensation in his perineum – the area between the scrotum and anus.
While he was undergoing a CT scan, the man suddenly experienced palpitations, sweating, cold limbs, a weak pulse, low blood pressure and high heart rate.
The patient was rushed to the emergency department but could not be resuscitated and was pronounced dead – four hours after the accident.
An autopsy a week later concluded his cause of death was traumatic haemorrhagic shock, due to injuries that occurred during the crash.
Haemorrhagic shock occurs due to of severe bleeding, which is often internal and not immediately obvious.
As a result, organs struggle to get vital oxygen and nutrients which can lead to them failing.
A team from Tongji Medical College wrote that the crash resulted in ‘violent impact’ between the man’s perineum and the motorbike fuel tank – known as a straddle injury.
This caused his pubic symphysis – the joint between the pelvic bones – to separate, injured his scrotum, dislocated his left testicle – which was forced out of the scrotum and into the groin – and triggered internal bleeding and bruising.
While dislocation usually refers to bones being pushed out of place, testicle dislocation occurs when something forces the testes out of its normal position within the scrotum.
The phenomenon is so rare that there are no figures on how often it occurs. However, eight in 10 cases are thought to be caused by motorbike accidents, research suggests.
Blood supply to the scrotum is ‘very rich’, meaning that bleeding caused by a scrotal injury is ‘very severe’, they noted.
They said his pelvic fractures and bleeding due to his scrotal injury were to blame for the man’s death.
Straddle injuries are often hard to spot, meaning patients can be misdiagnosed and left at risk of death, the medics wrote.
The team said doctors must consider that a patient may have suffered internal injuries and bleeding following a crash and limit their movement to squash the risk of bleeding or secondary fractures.
Source: | This article originally belongs to Dailymail.co.uk