Di Tonno F, Mazzariol C, Piazza N, Murer B
Division of Urology, Ospedale dell'Angelo Hospital, Mestre-Venezia -Italy.
Urologia. 2010 Apr-May;77(2):147-9.
A 25-year-old man from Bangla Desh with acute right scrotal pain was subjected to scrotal surgical exploration because of the suspicion of testicular torsion. The testicle appeared normally positioned; an epididymal nodule was removed, and pathology showed the presence of the filaria worm. Filariasis is a tropical disease which has been estimated to affect 120 millions people throughout the world. Lymphadenitis and lymphangitis are the more common clinical settings; in men, there is a frequent scrotal involvement. In some cases, acute scrotal pain may lead to the suspicion of testicular torsion. The observation of patients with genital filariasis is likely to become more frequent in an era of massive immigration from different countries; nowadays, the disease should always be taken into consideration in the differential diagnosis in patients with acute scrotal pain coming from tropical areas.
一名来自孟加拉国的25岁男子，因急性右侧阴囊疼痛，因怀疑睾丸扭转而接受了阴囊手术探查。睾丸位置正常；切除了一个附睾结节，病理显示有丝虫。丝虫病是一种热带疾病，据估计全世界有1.2亿人受其影响。淋巴结炎和淋巴管炎是较常见的临床情况；在男性中，阴囊受累很常见。在某些情况下，急性阴囊疼痛可能会导致怀疑睾丸扭转。在来自不同国家的大规模移民时代，对生殖器丝虫病患者的观察可能会更加频繁；如今，对于来自热带地区的急性阴囊疼痛患者进行鉴别诊断时，应始终考虑到这种疾病。
