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Correspondence

Stretcher's Scrotum

N Engl J Med 1993; 328:815March 18, 1993

Article

To the Editor:

A 40-year-old recreational athlete recovering from a low back injury had acute scrotal swelling and pain several hours after performing stretching exercises for the lower back. There was no history of acute scrotal trauma during the previous week. The symptoms and swelling gradually subsided over a period of several days. Magnetic resonance imaging two weeks after the onset of symptoms demonstrated a subacute scrotal hematoma measuring 3 cm by 1 cm by 1 cm.

Reenactment of the stretching routine demonstrated compression of the testes when one knee was brought to the chest and restrictive gym shorts were worn. A follow-up imaging examination at one year confirmed the absence of neoplasm.

Physicians and physical therapists prescribing flexibility exercises for the lower back should recommend that male patients wear loose, stretchable clothing.

Mark W. Ragozzino, M.D.
2212 Delaney Ave., Wilmington, NC 28405

Citing Articles (1)

Citing Articles

  1. 1

    (1993) More on Stretcher's Scrotum. New England Journal of Medicine 329:6, 436-437
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