运动诱发的双侧腹直肌鞘血肿表现为急性腹痛伴阴囊肿胀和压痛：病例报告及文献复习

Exercise-induced bilateral rectus sheath hematomas presenting as acute abdominal pain with scrotal swelling and pressure: case report and review.

作者信息

Auten Jonathan D, Schofer Joel M, Banks Steven L, Rooney Timothy B

机构信息

Department of Emergency Medicine, Naval Medical Center San Diego, San Diego, California 92134-1005, USA.

出版信息

J Emerg Med. 2010 Apr;38(3):e9-12. doi: 10.1016/j.jemermed.2007.06.027. Epub 2007 Nov 19.

DOI:10.1016/j.jemermed.2007.06.027

PMID:18024068

Abstract

Rectus sheath hematoma (RSH) is an uncommon but significant cause of acute abdominal pain in patients presenting to the Emergency Department. RSHs are often misdiagnosed as other more common causes of abdominal pain. This case describes a 23-year-old male presenting with acute abdominal pain, scrotal swelling, and associated scrotal pressure. The case highlights the uniqueness of this particular presentation and the clinical features, risk factors, diagnosis, and treatment of RSH.

摘要

腹直肌鞘血肿（RSH）是急诊科患者急性腹痛的一种罕见但重要的病因。腹直肌鞘血肿常被误诊为其他更常见的腹痛原因。本病例描述了一名23岁男性，表现为急性腹痛、阴囊肿胀及相关的阴囊压迫感。该病例突出了这种特殊表现的独特性以及腹直肌鞘血肿的临床特征、危险因素、诊断和治疗方法。