Okonkwo Kingsley C, Wong Kristin G, Cho Cheng T, Gilmer Lisa
University of Kansas, Department of Pediatrics, Kansas City, Kansas, USA.
Cases J. 2008 May 12;1(1):4. doi: 10.1186/1757-1626-1-4.
Acute painful scrotum in children may be associated with torsion of the testis, hematocele, epididymitis and direct testicular injury with hematoma formation. More frequently, however, acute scrotum occurs without a precipitating factor. While most traumatic testicular injuries resolve with conservative management, many require surgical exploration and some are life-threatening.
A 13-year-old boy with a history of testicular trauma presented with severe scrotal swelling and shock. This case study examines the presentation and possible role of cytokines in the development of systemic inflammatory response syndrome in a child with acute traumatic epididymitis.
Post-traumatic epididymitis presenting as shock in boys is rarely reported. We advocate early recognition of the chain of events leading to clinical presentation of shock and prompt treatment to preserve testicular viability.
儿童急性阴囊疼痛可能与睾丸扭转、阴囊血肿、附睾炎以及伴有血肿形成的睾丸直接损伤有关。然而，更常见的是，急性阴囊疼痛无明显诱发因素。虽然大多数创伤性睾丸损伤通过保守治疗可痊愈，但许多需要手术探查，有些甚至危及生命。
一名有睾丸创伤史的13岁男孩出现严重阴囊肿胀和休克。本病例研究探讨了细胞因子在一名患有急性创伤性附睾炎儿童全身炎症反应综合征发生过程中的表现及可能作用。
男孩创伤后附睾炎表现为休克的情况鲜有报道。我们主张早期识别导致休克临床表现的一系列事件，并及时治疗以维持睾丸的活力。
