Lostoridis Eftychios, Tourountzi Paraskevi, Pouggouras Konstantinos, Koutsouki Sotiria, Lampiri Klairi, Nagy Eva-Otilia
1st Department of Surgery, Kavala General Hospital, Agios Silas, Kavala, Greece.
Department of Anesthesiology and Intensive Care Unit, Aristotle University of Thessaloniki, AHEPA University Hospital, St Kiriakidis, Thessaloniki, Greece.
Acta Anaesthesiol Taiwan. 2015 Mar;53(1):44-6. doi: 10.1016/j.aat.2014.09.005. Epub 2015 Jan 20.
Air in the scrotum is an unusual clinical finding and a thorough search should be done in order to locate the air leak or source of gas production. We report an 81-year-old patient who developed severe acute respiratory failure after fiberoptic bronchoscopy and was intubated immediately. After tracheal intubation, excessive subcutaneous emphysema from the head to the scrotum was obvious. Chest tube thoracostomies were placed to treat pneumothorax. The emphysema was absorbed after 13 days without any sequela. Air or gas inside the scrotum may originate from intraperitoneal, extraperitoneal, or local sources. The majority of the cases can be managed conservatively, but emergent intervention is needed in life-threatening situations.
阴囊积气是一种不常见的临床发现，应进行全面检查以确定漏气部位或气体产生的来源。我们报告一例81岁患者，在纤维支气管镜检查后发生严重急性呼吸衰竭，随后立即进行了气管插管。气管插管后，头部至阴囊出现明显的皮下气肿。放置胸腔闭式引流管治疗气胸。气肿在13天后吸收，未留下任何后遗症。阴囊内的空气或气体可能源于腹腔内、腹腔外或局部来源。大多数病例可保守治疗，但在危及生命的情况下需要紧急干预。
