{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T06:09:33Z","timestamp":1789711773530,"version":"4.0.1"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background and objectives<\/jats:title>\n                    <jats:p>Traumatic intra-abdominal testicular migration is an exceptionally rare urological emergency in pediatric patients, with limited literature to guide management. We present a case of a 9-year-old boy with post-traumatic intra-abdominal testicular displacement mimicking torsion, highlighting the diagnostic challenges and multidisciplinary approach required for optimal outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A previously healthy 9-year-old male presented with severe right scrotal pain and empty hemiscrotum following blunt trauma during football. Initial ultrasound revealed a non-scrotal right testis with diminished vascularity, while CT confirmed intraperitoneal localization near the right inferior epigastric artery. Emergency laparoscopic exploration identified a viable intra-abdominal testis, managed successfully with combined laparoscopic mobilization, herniotomy, and open orchidopexy. The patient recovered uneventfully with normal testicular position at discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      This case demonstrates that traumatic intra-abdominal testicular migration requires high clinical suspicion, timely imaging, and urgent surgical intervention\n                      <jats:bold>.<\/jats:bold>\n                      Despite the absence of pre-existing cryptorchidism, violent trauma can cause complete testicular displacement, emphasizing the need for thorough evaluation of pediatric scrotal trauma.\n                    <\/jats:p>\n                  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