Bilateral epididymal injury following trauma: An uncommon cause of obstructive infertility

Scrotal trauma, though uncommon, can rarely result in isolated epididymal injury, as seen in a rare case of bilateral epididymal injury leading to obstructive infertility in a 23-year-old male who sustained blunt scrotal trauma. Doppler ultrasound revealed bilateral hematocele and epididymal discont...

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Main Authors: Ahmed Ibrahimi, Adam El Aboudi, Salim Ouskri, Hamza El Abidi, Imad Boualaoui, El Sayegh Hachem, Nouini Yassine
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Urology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214442025001160
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author Ahmed Ibrahimi
Adam El Aboudi
Salim Ouskri
Hamza El Abidi
Imad Boualaoui
El Sayegh Hachem
Nouini Yassine
author_facet Ahmed Ibrahimi
Adam El Aboudi
Salim Ouskri
Hamza El Abidi
Imad Boualaoui
El Sayegh Hachem
Nouini Yassine
author_sort Ahmed Ibrahimi
collection DOAJ
description Scrotal trauma, though uncommon, can rarely result in isolated epididymal injury, as seen in a rare case of bilateral epididymal injury leading to obstructive infertility in a 23-year-old male who sustained blunt scrotal trauma. Doppler ultrasound revealed bilateral hematocele and epididymal discontinuity, which was confirmed by surgical exploration showing bilateral epididymal lacerations. Postoperative semen analysis indicated azoospermia. Isolated epididymal injuries are rarely diagnosed early, emphasizing the importance of thorough imaging and consideration of fertility preservation. Urologists should consider early sperm preservation in cases with a high risk of infertility.
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institution Kabale University
issn 2214-4420
language English
publishDate 2025-07-01
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series Urology Case Reports
spelling doaj-art-1fc7f25a320d4adbadcbceea8b066db02025-08-20T03:56:42ZengElsevierUrology Case Reports2214-44202025-07-016110304510.1016/j.eucr.2025.103045Bilateral epididymal injury following trauma: An uncommon cause of obstructive infertilityAhmed Ibrahimi0Adam El Aboudi1Salim Ouskri2Hamza El Abidi3Imad Boualaoui4El Sayegh Hachem5Nouini Yassine6Department of Urology A, Ibn Sina Hospital, University of Rabat, MoroccoCorresponding author.; Department of Urology A, Ibn Sina Hospital, University of Rabat, MoroccoDepartment of Urology A, Ibn Sina Hospital, University of Rabat, MoroccoDepartment of Urology A, Ibn Sina Hospital, University of Rabat, MoroccoDepartment of Urology A, Ibn Sina Hospital, University of Rabat, MoroccoDepartment of Urology A, Ibn Sina Hospital, University of Rabat, MoroccoDepartment of Urology A, Ibn Sina Hospital, University of Rabat, MoroccoScrotal trauma, though uncommon, can rarely result in isolated epididymal injury, as seen in a rare case of bilateral epididymal injury leading to obstructive infertility in a 23-year-old male who sustained blunt scrotal trauma. Doppler ultrasound revealed bilateral hematocele and epididymal discontinuity, which was confirmed by surgical exploration showing bilateral epididymal lacerations. Postoperative semen analysis indicated azoospermia. Isolated epididymal injuries are rarely diagnosed early, emphasizing the importance of thorough imaging and consideration of fertility preservation. Urologists should consider early sperm preservation in cases with a high risk of infertility.http://www.sciencedirect.com/science/article/pii/S2214442025001160Scrotal traumaEpididymal injuryAzoospermiaFertility preservation
spellingShingle Ahmed Ibrahimi
Adam El Aboudi
Salim Ouskri
Hamza El Abidi
Imad Boualaoui
El Sayegh Hachem
Nouini Yassine
Bilateral epididymal injury following trauma: An uncommon cause of obstructive infertility
Urology Case Reports
Scrotal trauma
Epididymal injury
Azoospermia
Fertility preservation
title Bilateral epididymal injury following trauma: An uncommon cause of obstructive infertility
title_full Bilateral epididymal injury following trauma: An uncommon cause of obstructive infertility
title_fullStr Bilateral epididymal injury following trauma: An uncommon cause of obstructive infertility
title_full_unstemmed Bilateral epididymal injury following trauma: An uncommon cause of obstructive infertility
title_short Bilateral epididymal injury following trauma: An uncommon cause of obstructive infertility
title_sort bilateral epididymal injury following trauma an uncommon cause of obstructive infertility
topic Scrotal trauma
Epididymal injury
Azoospermia
Fertility preservation
url http://www.sciencedirect.com/science/article/pii/S2214442025001160
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AT hamzaelabidi bilateralepididymalinjuryfollowingtraumaanuncommoncauseofobstructiveinfertility
AT imadboualaoui bilateralepididymalinjuryfollowingtraumaanuncommoncauseofobstructiveinfertility
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