Takeuchi Takumi, Okuno Yumiko, Tanaka Hiroki, Mikami Koji
Department of Urology, Japan Organization of Occupational Health and Safety, Kanto Rosai Hospital, 1-1 Kizukisumiyoshi-cho, Nakahara-ku, Kawasaki 211-8510, Japan.
Department of Pathology, Japan Organization of Occupational Health and Safety, Kanto Rosai Hospital, 1-1 Kizukisumiyoshi-cho, Nakahara-ku, Kawasaki 211-8510, Japan.
Urol Case Rep. 2017 Jul 18;14:33-34. doi: 10.1016/j.eucr.2017.06.011. eCollection 2017 Sep.
A 21-year-old man presented with acute-onset left lower abdominal pain that had initially developed 8 hours earlier. He was not given any medication including anti-coagulants. He denied trauma. On palpation, the left testis was slightly swollen and showed tenderness. The suspected diagnosis was testicular torsion, and surgical exploration was indicated. On visual inspection, the whole testis was black. The spermatic cord was neither distorted nor black. Testicular torsion could not be completely ruled out; thus, left orchiectomy was performed. Histopathology revealed diffuse intratesticular hemorrhage without the necrosis of seminiferous tubular cells. We encountered a case of idiopathic spontaneous intratesticular hemorrhage.
一名21岁男性因8小时前突发左下腹疼痛前来就诊。他未服用任何药物，包括抗凝剂。他否认受过外伤。触诊时，左侧睾丸轻度肿胀且有压痛。疑似诊断为睾丸扭转，需进行手术探查。肉眼观察，整个睾丸呈黑色。精索未扭曲也未变黑。睾丸扭转不能完全排除，因此进行了左侧睾丸切除术。组织病理学显示睾丸内弥漫性出血，生精小管细胞无坏死。我们遇到了一例特发性自发性睾丸内出血的病例。
