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Blunt Abdominal Trauma Causing Intra-Abdominal Bleeding From an Undescended Intra-Abdominal Testis in a Syndromic Adult Patient

Maha Al Shaibi, Saleh Baawin and Rashid Al Sukaiti

A 32 years old man who is known to have Klippel-Trenaunay syndrome was involved in a “head-on” Motor Vehicle Collision (MVC) as a restrained driver. He was managed in a level one trauma center where trauma protocol CT angiography was done and showed an active bleeding from an unidentified vessel in the pelvis on CT angiogram with a possible bowel injury. He underwent trauma laparotomy and was found to have bleeding from the left testicular artery on an undiagnosed undescended intra-abdominal testis. Orchidotectomy was done and the final pathology showed normal testicular tissue without malignant transformation. The patient recovered well from his surgery and had no further complications.