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膀胱前列腺切除术后节段性睾丸梗死

Segmental testicular infarction following cysto-prostatectomy.

作者信息

Alleemudder Adam I, Amer Tarik, Rao Amrith

机构信息

Department of Urology, St Mary's Hospital, Imperial College Healthcare NHS Trust, UK.

出版信息

Urol Ann. 2011 Jan;3(1):42-3. doi: 10.4103/0974-7796.75855.

DOI:10.4103/0974-7796.75855
PMID:21346834
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3037001/
Abstract

Segmental (partial) testicular infarction is a very rare condition of unknown cause in more than 70% of cases. Several predisposing conditions have been described, but to our knowledge, this is the first documented case and often overlooked complication occurring as a result of cysto-prostatectomy. It usually presents in an acute manner resembling testicular torsion or epididymo-orchitis and is confirmed using ultrasonography. In some cases, it may present insidiously with no pain and may be confused with a testicular tumor due to the hypo-echoic features on imaging. In unclear situations, Doppler sonography shows vascularity and a magnetic resonance scan can be useful to distinguish between the two conditions.

摘要

节段性(部分)睾丸梗死是一种非常罕见的病症,70%以上的病例病因不明。已有多种易感因素被描述,但据我们所知,这是首例有文献记载的因膀胱前列腺切除术导致的、且常被忽视的并发症。它通常以类似睾丸扭转或附睾炎的急性方式出现,通过超声检查得以确诊。在某些情况下,它可能隐匿出现且无疼痛,由于影像学上的低回声特征,可能会与睾丸肿瘤混淆。在情况不明时,多普勒超声检查可显示血管情况,磁共振扫描有助于区分这两种病症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5092/3037001/0e6bcab23128/UA-3-42-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5092/3037001/13d74a2d959e/UA-3-42-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5092/3037001/0e6bcab23128/UA-3-42-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5092/3037001/13d74a2d959e/UA-3-42-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5092/3037001/0e6bcab23128/UA-3-42-g002.jpg

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Acta Clin Croat. 2022 Nov;61(3):551-554. doi: 10.20471/acc.2022.61.03.23.
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Segmental testicular infarction: Case series and brief literature review of a great mime.节段性睾丸梗死:病例系列及对一位伟大默剧演员的简短文献综述
Urol Ann. 2019 Jul-Sep;11(3):334-337. doi: 10.4103/UA.UA_125_18.
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本文引用的文献

1
Segmental testicular ischaemia: presentation, management and follow-up.节段性睾丸缺血:临床表现、治疗及随访
Int J Androl. 2009 Oct;32(5):524-31. doi: 10.1111/j.1365-2605.2008.00891.x. Epub 2008 May 22.
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A rare case of segmental testicular infarction.
Urology. 2007 May;69(5):983.e7-8. doi: 10.1016/j.urology.2007.02.025.
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Segmental testicular infarction as a complication of varicocelectomy: sonographic findings.精索静脉曲张结扎术后并发节段性睾丸梗死:超声表现
J Clin Ultrasound. 2006 Mar-Apr;34(3):143-5. doi: 10.1002/jcu.20197.
J Med Case Rep. 2017 May 18;11(1):140. doi: 10.1186/s13256-017-1308-1.
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Magnetic resonance imaging to diagnose segmental testicular infarction.磁共振成像诊断节段性睾丸梗死。
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Segmental testicular infarction.节段性睾丸梗死
BJU Int. 1999 Mar;83(4):525. doi: 10.1046/j.1464-410x.1999.00038.x.
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Segmental testicular infarction due to sickle cell disease.镰状细胞病所致节段性睾丸梗死
J Urol. 1998 Sep;160(3 Pt 1):835-6. doi: 10.1016/S0022-5347(01)62803-9.