Ohio University, Athens, OH 45701.
J Athl Train. 1998 Jan;33(1):65-8.
In order to expand the athletic trainer's awareness of acute scrotal injuries, the objective is to present a case of a collegiate football player sustaining a spermatic cord hematoma injury.
Hematomas tend to resolve with conservative management. However, untreated testicular injuries may have serious ramifications, including ischemic atrophy, necrosis, and secondary infection. Exploratory surgery remains the standard for any acute scrotal lesion that cannot be diagnosed by physical examination or by diagnostic testing. Surgical exploration, however, is unnecessary in cases of scrotal hematoma.
Epididymitis, incarcerated inguinal hemia, testicular torsion, testicular hematocele, and scrotal trauma with hematoma formation.
Conservative management including bedrest, ice, slight elevation of the lower extremities, and nonsteroidal anti-inflammatory drugs.
Noncontact scrotal injuries resulting in moderate swelling, pain, and disability are rare in athletes. This case study presents an athlete who suffered a moderate adductor strain 1 month before the formation of a spermatic cord hematoma. Comparison of the two episodes may be found in the subjective history. The question arises as to whether or not the hematoma formation was a possible complication of the initial adductor muscle injury.
Although scrotal injuries are not life threatening, untreated testicular injures can have immediate and severe consequences. It is essential that athletes with acute scrotal injuries accompanied by swelling and tenderness be evaluated by a physician with training in clinical urology.
为了提高运动医学治疗师对急性阴囊损伤的认识，本研究旨在介绍一例大学生足球运动员发生精索血肿的病例。
血肿通常通过保守治疗即可缓解。然而，未治疗的睾丸损伤可能会产生严重的后果，包括缺血性萎缩、坏死和继发感染。对于无法通过体格检查或诊断性检查诊断的任何急性阴囊病变，仍然需要进行手术探查。然而，对于阴囊血肿，手术探查是不必要的。
附睾炎、嵌顿性腹股沟疝、睾丸扭转、睾丸血肿和阴囊创伤伴血肿形成。
包括卧床休息、冰敷、下肢轻度抬高和非甾体抗炎药的保守治疗。
非接触性阴囊损伤导致中度肿胀、疼痛和运动障碍在运动员中较为罕见。本病例研究介绍了一名运动员，他在精索血肿形成前 1 个月曾遭受中度内收肌拉伤。在主观病史中可以比较这两个事件。问题是血肿的形成是否是最初内收肌损伤的可能并发症。
虽然阴囊损伤不会危及生命，但未治疗的睾丸损伤可能会产生即刻和严重的后果。对于伴有肿胀和触痛的急性阴囊损伤的运动员，必须由具有临床泌尿外科培训的医生进行评估。
