Clinical features:
Scrotal pain, swelling, bruising
± Absent cremasteric reflex
Management:
Mild (self-resolving symptoms and a normal physical examination): Analgesics, ice pack, supportive care
Moderate/severe (significant swelling, moderate bruising, or marked pain [requiring IV analgesics]): Ultrasound; ± surgical exploration
Complications:
Testicular fracture, dislocation, rupture
Compression by scrotal hematoma
Testicular torsion
