Figure 2 - uploaded by José Daniel Osorio
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Complete avulsion of the spermatic cord. (a) Midline raphe incision (b). Left Gibson incision (c). Proximal end of the spermatic cord. (d) Distal end of the spermatic cord.
Source publication
We report an extremely rare case of a patient with a total avulsion of the spermatic cord secondary to a blunt inguinal trauma. Doppler ultrasound was used to identify an absence of vascular flow and an indication for exploratory surgery. The retroperitoneum was accessed for hemostasis. Spermatic cord injury after blunt trauma is extremely rare but...
Context in source publication
Context 1
... exploration through a median raphe incision revealed a large hematoma through all the scrotum layers, but the left testicle appeared to be healthy, however, as we proceeded, we found a complete avulsion of the spermatic cord. Therefore, we performed a Gibson incision, explored the retroperitoneum until we found the proximal end of the spermatic cord ( Figure 2). We controlled the bleeding, drained the hematoma, completed the orchiectomy and subsequently, we performed the contralateral orchidopexy. ...
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Background
Tumors arising from the spermatic cord are typically lipomas or sarcomas, and treatment with radical orchiectomy and high ligation of the spermatic cord is the standard of care. Very few cases of metastatic spread to the spermatic cord from other malignancies have been described. Herein we report a case of a patient with a spermatic cord...
