Testicular rupture from blunt scrotal injury

The pictures show blunt scrotal trauma with associated testicular rupture. Following blunt injury to the external genitalia, discoloration of the right hemiscrotum can be seen (A). Upon exploration, blood is visible within the tunica vaginalis (B). Testicular rupture is confirmed by demonstration of extruded seminiferous tubules (C; arrow). Following debridement of the extruded seminiferous tubules, the testicular tunica albuginea was closed primarily (D; arrow).