Case Report: A rare case of post-traumatic intra-abdominal testicular migration mimicking torsion in a 9-year-old boy

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Abstract
Background and objectives: Traumatic intra-abdominal testicular migration is an exceptionally rare urological emergency in pediatric patients, with limited literature to guide management. We present a case of a 9-year-old boy with post-traumatic intra-abdominal testicular displacement mimicking torsion, highlighting the diagnostic challenges and multidisciplinary approach required for optimal outcomes. Case presentation: A previously healthy 9-year-old male presented with severe right scrotal pain and empty hemiscrotum following blunt trauma during football. Initial ultrasound revealed a non-scrotal right testis with diminished vascularity, while CT confirmed intraperitoneal localization near the right inferior epigastric artery. Emergency laparoscopic exploration identified a viable intra-abdominal testis, managed successfully with combined laparoscopic mobilization, herniotomy, and open orchidopexy. The patient recovered uneventfully with normal testicular position at discharge. Conclusion: This case demonstrates that traumatic intra-abdominal testicular migration requires high clinical suspicion, timely imaging, and urgent surgical intervention . Despite the absence of pre-existing cryptorchidism, violent trauma can cause complete testicular displacement, emphasizing the need for thorough evaluation of pediatric scrotal trauma.

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