Mincheff Thomas, Bannister Brooks, Zubel Paul
Carolina Pines Regional Medical Center, Hartsville, South Carolina, USA.
JSLS. 2002 Jul-Sep;6(3):211-3.
A 53-year-old Caucasian male underwent laparoscopic total extraperitoneal repair of a right indirect inguinal hernia. Postoperatively, the patient developed right testicular swelling and pain that increased over the course of a week. On examination, the patient was found to have a tender, swollen, high-riding testicle, and testicular torsion was of main concern. Doppler sonography and testicular scan suggested an infarction only to the upper pole of the right testicle. Subsequent exploration of the right testicle revealed a hydrocele and focal ischemia to the upper pole of the right testicle. Intraoperative Doppler study and a urology consultation were obtained with an initial impression of possible intermittent torsion. This report describes a rare complication seen in laparoscopic inguinal hernia repairs.
一名53岁的白种男性接受了腹腔镜下右侧腹股沟斜疝全腹膜外修补术。术后，患者出现右侧睾丸肿胀和疼痛，且在一周内逐渐加重。检查发现，患者右侧睾丸触痛、肿胀且位置上移，主要考虑为睾丸扭转。多普勒超声和睾丸扫描显示仅右侧睾丸上极梗死。随后对右侧睾丸进行探查，发现有鞘膜积液以及右侧睾丸上极局灶性缺血。术中进行了多普勒检查并咨询了泌尿外科，初步印象为可能存在间歇性扭转。本报告描述了腹腔镜腹股沟疝修补术中一种罕见的并发症。
