Leibovitch I, Ramon J, Ben Chaim J, Nass D, Goldwasser B
Department of Urology, Chaim Sheba Medical Center, Tel Hashomer, Israel.
J Urol. 1991 Jul;146(1):162-4. doi: 10.1016/s0022-5347(17)37742-x.
A patient with a recent history of genitourinary tuberculosis, chronic renal failure and hemodialysis presented with a slow growing scrotal swelling that had enlarged during the last 3 years. Physical examination and sonography were suspicious for testicular tumor, and surgical exploration and inguinal orchiectomy were performed. Ultimately the mass proved to be a chronic hematocele, a rare complication of uremic coagulopathy and hemodialysis. Because hematocele may clinically and sonographically resemble a testicular tumor, the proper management of a complex multiseptated scrotal mass without obvious history suggestive of hematocele is surgical exploration and orchiectomy. Awareness of this common presentation may obviate orchiectomy.
一名近期有泌尿生殖系统结核、慢性肾衰竭及血液透析病史的患者，出现阴囊缓慢增大的肿物，该肿物在过去3年中持续增大。体格检查及超声检查怀疑为睾丸肿瘤，遂行手术探查及腹股沟睾丸切除术。最终证实该肿物为慢性阴囊血肿，这是尿毒症凝血功能障碍及血液透析的一种罕见并发症。由于阴囊血肿在临床及超声表现上可能与睾丸肿瘤相似，对于无明显血肿病史的复杂多分隔阴囊肿物，恰当的处理方法是手术探查及睾丸切除术。认识到这种常见表现可避免不必要的睾丸切除术。
