附睾炎继发睾丸缺血：一例病例报告。

Testicular ischemia secondary to epididymo-orchitis: A case report.

作者信息

Alharbi Badr, Rajih Emad, Adeoye Adewunmi, Allatiefe Bashar Abed, Abdullah Mohammad Hasan

机构信息

Urology Department, College of Medicine, Qassim University, Buraidah, Saudi Arabia.

Urology Department, College of Medicine, Taibah University, Madinah, Saudi Arabia.

出版信息

Urol Case Rep. 2019 Apr 19;27:100893. doi: 10.1016/j.eucr.2019.100893. eCollection 2019 Nov.

DOI:10.1016/j.eucr.2019.100893

PMID:31687342

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6819811/

Abstract

Testicular infarction is a common urological emergency in clinical practice, it is still underreported when it results from other than spermatic cord torsion. It rarely arises from other pathological processes like vasculitis and infectious disease. We report a case of 18-year-old with epididymo-orchitis complicated by testicular ischemia. This case accentuates the need for a high index of suspicion to rule out concomitant testicular ischemia secondary to epididymo-orchitis that might be salvaged in the future with immediate surgical intervention. Testicular infarction is a devastating complication from epididymo-orchitis that is difficult to predict and distinguish from more common presentations of acute scrotum.

摘要

睾丸梗死是临床实践中常见的泌尿外科急症，当它由精索扭转以外的原因引起时，报告仍然较少。它很少由血管炎和传染病等其他病理过程引起。我们报告一例18岁患者，患有附睾炎并发睾丸缺血。该病例强调了高度怀疑的必要性，以排除附睾炎继发的合并睾丸缺血，这种情况未来可能通过立即手术干预得以挽救。睾丸梗死是附睾炎的一种毁灭性并发症，难以预测且与急性阴囊的更常见表现相区分。