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Journal of Indian Academy of Forensic Medicine
Year : 2016, Volume : 38, Issue : 3
First page : ( 370) Last page : ( 372)
Print ISSN : 0971-0973. Online ISSN : 0974-0848.
Article DOI : 10.5958/0974-0848.2016.00093.2

Testicular trauma resulting in death due to shock and systemic inflammatory response syndrome (SIRS): A case report

Pooniya Shashank1, Swain Rajanikanta2, Prasad Kulbhushan3, Yadav Abhishek4

1Assistant Professor, Department of Forensic Medicine and Toxicology, Lady Harding Medical College (LHMC), New Delhi

2Assistant Professor, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, New Delhi

3Senior Resident, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, New Delhi

4Assistant Professor, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, New Delhi

Online published on 3 March, 2017.

Abstract

Male genital trauma can occur by many different mechanisms with the clinical presentation being typically homogeneous, characterized by pain and swelling. This condition of Acute Scrotum is treated as a medical emergency with about 20% of the patient needing surgical exploration and rest of the cases are managed by conservative treatment. Any unnecessary delay in management can bring about irreversible damage to the testis making it important to identify the patients who do not need surgery by use of the appropriate diagnostic procedures. Few cases of acute scrotal pain might lead to Systemic Inflammatory Response Syndrome (SIRS), which is a life threatening condition. We report a case of an 18 year old boy who sustained testicular trauma while riding a bicycle and two months post trauma developed severe pain in left inguino-scrotal region, fever and subsequently died. The authors intend to report this unusual case as cases of testicular trauma resulting in shock and SIRS have been reported in literature but were unable to find cases of death occurring due to SIRS.

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Keywords

SIRS, Testicular Trauma, Scrotal Injury.

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