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儿童脾破裂后交通性阴囊积血:诊断与处理

Communicating hematocele in children following splenic rupture: diagnosis and management.

作者信息

Shirvani A R, Ortenberg J

机构信息

Department of Urology, Ochsner Clinic and Alton Ochsner Medical Foundation and the Louisiana State University School of Medicine, New Orleans, Louisiana 70121, USA.

出版信息

Urology. 2000 Apr;55(4):590.

PMID:10754178
Abstract

Acute hematocele is commonly associated with direct testicular trauma. Blood within the tunica vaginalis may infrequently accompany blunt abdominal injury in the presence of a communicating hydrocele. Optimal management involves early recognition and treatment of the abdominal source of bleeding. Elective repair of the communicating hydrocele/hematocele should follow. We report 2 cases of boys with scrotal swelling due to communicating hematoceles. Both cases were associated with a patent processus vaginalis and splenic laceration secondary to blunt trauma.

摘要

急性血囊肿通常与睾丸直接创伤有关。在交通性鞘膜积液存在的情况下,鞘膜腔内的血液可能偶尔伴随钝性腹部损伤出现。最佳治疗方法包括早期识别和治疗腹部出血源。随后应择期修复交通性鞘膜积液/血囊肿。我们报告2例因交通性血囊肿导致阴囊肿胀的男孩病例。两例均与开放性鞘状突以及钝性创伤继发的脾破裂有关。

相似文献

1
Communicating hematocele in children following splenic rupture: diagnosis and management.儿童脾破裂后交通性阴囊积血:诊断与处理
Urology. 2000 Apr;55(4):590.
2
Communicating hematocele in children following splenic rupture: diagnosis and management.儿童脾破裂后交通性血囊肿:诊断与处理
Urology. 2000 Apr;55(4):590.
3
Occult splenic rupture presenting as acute scrotal swelling.隐匿性脾破裂表现为急性阴囊肿胀。
J Emerg Med. 2012 Sep;43(3):438-41. doi: 10.1016/j.jemermed.2010.04.017. Epub 2010 Jun 7.
4
Rational approach to diagnosis and management of blunt scrotal trauma.钝性阴囊创伤的诊断与处理的合理方法
Urology. 2007 Aug;70(2):230-4. doi: 10.1016/j.urology.2007.03.064.
5
Acute communicating haematocele: unusual presentation after blunt abdominal trauma without solid organ injury.急性交通性血囊肿:钝性腹部创伤后无实质性器官损伤的罕见表现。
Eur J Emerg Med. 2003 Dec;10(4):342-3. doi: 10.1097/01.mej.0000103471.32882.00.
6
The communicating hematocele: an unusual presentation for blunt splenic trauma.交通性血囊肿:钝性脾外伤的一种罕见表现。
J Urol. 1986 Nov;136(5):1092-3. doi: 10.1016/s0022-5347(17)45228-1.
7
Acute scrotal swelling after blunt thoracoabdominal trauma.钝性胸腹外伤后急性阴囊肿胀
J Trauma. 1996 Jan;40(1):155-6. doi: 10.1097/00005373-199601000-00034.
8
[An unusual cause of testicular hematocele].[睾丸血囊肿的一种罕见病因]
Ned Tijdschr Geneeskd. 1976 Oct 9;120(41):1739-40.
9
Hematocele secondary to rupture of an abdominoscrotal hydrocele.腹阴囊鞘膜积液破裂继发血囊肿
Arch Esp Urol. 2013 Nov;66(9):877-9.
10
[Hematocele of the tunica vaginalis].鞘膜积血
Actas Urol Esp. 1990 Jul-Aug;14(4):279-81.

引用本文的文献

1
Hydrocele of the canal of Nuck - Rare differential for vulval swelling.努克管水囊肿——外阴肿胀的罕见鉴别诊断
Indian J Radiol Imaging. 2014 Apr;24(2):175-7. doi: 10.4103/0971-3026.134408.
2
Scrotal swelling after intra-abdominal injury.腹部损伤后的阴囊肿胀。
BMJ Case Rep. 2011 Mar 8;2011:bcr0120113722. doi: 10.1136/bcr.01.2011.3722.