Blake-James Benedict T, Hussain Mahreen, Peters John L
Institute of Urology, University College London, London, UK.
Eur J Emerg Med. 2007 Feb;14(1):53-5. doi: 10.1097/01.mej.0000228448.30350.78.
Genital foreign bodies constitute a diverse but surprisingly common means of presentation to emergency departments. Although the presentation usually means the initial diagnosis is easily made, we present a case here that stresses the importance of attention to history, clinical examination and radiological investigation. A 44-year-old gentleman presented with a history of pain and discharge from a self-inflicted scrotal wound. Further questioning revealed a history of genital foreign bodies, but the full extent of his condition was not apparent until plain pelvic radiographs were obtained. The initial management of genital foreign bodies follows basic surgical principles. Constricting bands must be removed, devitalized tissues debrided and the surgical field extensively irrigated. Underlying psychiatric illness may be present and a high index of suspicion is required in the initial assessment of such patients. A plain pelvic radiograph is recommended to fully identify all foreign bodies present.
生殖器异物是急诊科多样化但却出奇常见的就诊原因。尽管通常根据临床表现就能轻易做出初步诊断，但我们在此报告一例病例，强调重视病史、临床检查及影像学检查的重要性。一名44岁男性因自伤阴囊出现疼痛及分泌物前来就诊。进一步询问发现有生殖器异物史，但直到拍摄骨盆平片后，其病情的全貌才显现出来。生殖器异物的初始处理遵循基本外科原则。必须移除紧缩带，清除失活组织，并对手术区域进行广泛冲洗。此类患者可能存在潜在精神疾病，在初始评估时需高度怀疑。建议拍摄骨盆平片以全面识别所有存在的异物。
