Tweet
Not Sure where to put this so went for it here.... Nasty
An 11-year old boy presented to Accident Department with a snooker injury to his scrotum sustained by falling off a high chair onto the cue tip. There was no history of any fight or suspicious intent.
On arrival, he was alert and fully conscious. No other injury was identified. He was haemodynamically stable and was covered for tetanus.
Genital examination revealed a penetrating injury to the left hemi-scrotum through the base with exit point over the supra-pubic region with the snooker cue in situ (Figure I & II). No bleeding from the urethral meatus was identified. Abdominal examination revealed no signs of peritonism. Chest examination was normal. Abdomen and Chest X ray were normal.
Intravenous antibiotics were administered. Every attempt was made to keep the boy calm and the cue immobile.
The patient was taken to theatre and the wound was explored. Cord and testis were intact and no communication with the abdominal cavity was found. The wound was closed over a corrugated drain. Urethral catherization was performed to exclude any injury.
Post-operatvely, intravenous antibiotics were given for 24 hrs and then oral to complete the course. The corrugated drain removed next day.
Further follow- up: No further problems were reported and the wound healed well.
On arrival, he was alert and fully conscious. No other injury was identified. He was haemodynamically stable and was covered for tetanus.
Genital examination revealed a penetrating injury to the left hemi-scrotum through the base with exit point over the supra-pubic region with the snooker cue in situ (Figure I & II). No bleeding from the urethral meatus was identified. Abdominal examination revealed no signs of peritonism. Chest examination was normal. Abdomen and Chest X ray were normal.
Intravenous antibiotics were administered. Every attempt was made to keep the boy calm and the cue immobile.
The patient was taken to theatre and the wound was explored. Cord and testis were intact and no communication with the abdominal cavity was found. The wound was closed over a corrugated drain. Urethral catherization was performed to exclude any injury.
Post-operatvely, intravenous antibiotics were given for 24 hrs and then oral to complete the course. The corrugated drain removed next day.
Further follow- up: No further problems were reported and the wound healed well.
Comment