Fry Emily, Counselman Francis L
Department of Emergency Medicine, Eastern Virginia Medical School, Norfolk, Virginia, USA.
J Emerg Med. 2010 Jun;38(5):587-92. doi: 10.1016/j.jemermed.2007.07.018. Epub 2007 Dec 26.
A 38-year-old man with a history of schizophrenia presented with pain and swelling of his testicles, with the right side worse than the left. Physical examination was remarkable for a very firm, large, right-sided scrotal mass. Testicular ultrasound was suspicious for neoplasm or abscess. On the pelvic computed tomography (CT) scan, which was obtained as part of a metastatic cancer work-up, two metallic foreign bodies were identified in the pelvis. On further questioning, the patient admitted to ingesting the nails 2 days prior, in a suicide attempt. We review the evaluation of unilateral scrotal pain and swelling, and incidental foreign body ingestion.
一名有精神分裂症病史的38岁男性出现睾丸疼痛和肿胀，右侧比左侧更严重。体格检查发现右侧阴囊有一个非常硬的大肿块。睾丸超声检查怀疑有肿瘤或脓肿。在作为转移性癌症检查一部分进行的盆腔计算机断层扫描（CT）中，在盆腔发现了两个金属异物。进一步询问后，患者承认两天前为自杀企图吞食了钉子。我们回顾了单侧阴囊疼痛和肿胀以及意外吞食异物的评估。
