Horror motorcycle accident sees Italian man’s testicle dislocate and sling INSIDE his abdomen

A motorcycle crash dislocated a man’s testicle and knocked it inside his own body.

The man, in his 20s, arrived at an emergency department after a road traffic accident in Italy pushed his testicle into his abdomen, leaving him in excruciating pain.

His right teste had been forced from its usual spot in the scrotum — the thin sac of skin keeping the testicles in place — through a small passageway in the groin and up into the abdomen.

It is unusual for trauma to dislocate the testicles enough so that they leave the scrotum, doctors said in the BMJ Case Reports.

Roughly 80 percent of reported cases are in men in their mid-20s who have been in a motorcycle accident, they found in a literature review. Only in around six percent of the cases do the testicles travel as far as the abdomen.

The man, in his 20s, arrived at an emergency department after a road traffic accident in Italy (stock pic)

The man had a large swelling of clotted blood in his scrotum, where blood had leaked out of the veins and arteries due to the impact of the accident, meaning doctors initially could not properly examine his testicles.

Once they stemmed the bleeding and removed the blood from his groin that had collected, they tended to his other injuries, which included severe pelvic fractures, and checked that his bladder was intact.

With the help of a CT scan, doctors located the dislocated testicle.

A CT scan is a computed tomography scan which combines a series of X-rays  taken from different angles around the body.

The testicle had turned blue, so doctors warmed the testis until it returned to its usual color and checked it had not been completely severed.

In an operation that lasted an hour and a half, doctors surgically repositioned the testicle.

They used a surgery called orchidopexy, which is also used in children to correct a common birth defect where a testicle does not fully drop down in early development.

Just six months later, the patient was back to normal, with no lasting damage to his fertility, hormone or semen production.

In a separate case, it took almost a year after a motorcycle crash for a patient to be diagnosed with a dislocated testicle, because of other injuries and pooled blood impeding a scrotum examination.

Delayed treatment can have serious consequences, and swift diagnosis is necessary to minimize potential impacts on fertility.

In the US, there are about 89,000 motorcycle crashes annually.