Nikiforov Ivan, Mansoora Qurat, Al-Khalisy Hassan, Joseph Sarah, Cheriyath Pramil
Pinnacle Health Systems, 111 South Front Street, Harrisburg, PA 17101, USA.
Case Rep Gastrointest Med. 2015;2015:265273. doi: 10.1155/2015/265273. Epub 2015 Jun 24.
Background. Scrotal swelling is a rare complication of acute pancreatitis with few reported cases in the literature. In this case report, we present a 59-year-old male with hydrochlorothiazide induced pancreatitis who developed scrotal swelling. Case Presentation. A 59-year-old male presented to the emergency department with sharp epigastric abdominal pain that radiated to the back and chest. On physical examination, he had abdominal tenderness and distention with hypoactive bowel sounds. Computed tomography (CT) scan of the abdomen showed acute pancreatitis. The patient's condition deteriorated and he was admitted to the intensive care unit (ICU). After he improved and was transferred out of the ICU, the patient developed swelling of the scrotum and penis. Ultrasound (US) of the scrotum showed large hydrocele bilaterally with no varicoceles or testicular masses. Good blood flow was observed for both testicles. The swelling diminished over the next eight days with the addition of Lasix and the patient was discharged home in stable condition. Conclusion. Scrotal swelling is a rare complication of acute pancreatitis. It usually resolves spontaneously with conservative medical management such as diuretics and elevation of the legs.
背景。阴囊肿胀是急性胰腺炎的一种罕见并发症，文献中报道的病例较少。在本病例报告中，我们呈现了一名59岁因氢氯噻嗪诱发胰腺炎并出现阴囊肿胀的男性患者。病例介绍。一名59岁男性因上腹部剧痛放射至背部和胸部就诊于急诊科。体格检查发现他有腹部压痛、腹胀及肠鸣音减弱。腹部计算机断层扫描（CT）显示为急性胰腺炎。患者病情恶化，被收入重症监护病房（ICU）。在病情好转并转出ICU后，患者出现阴囊和阴茎肿胀。阴囊超声（US）显示双侧大量鞘膜积液，无精索静脉曲张或睾丸肿块。双侧睾丸血流良好。在加用速尿后的接下来八天里肿胀消退，患者病情稳定后出院。结论。阴囊肿胀是急性胰腺炎的一种罕见并发症。通常通过利尿剂和抬高双腿等保守治疗可自行缓解。
