Taylor Gregory M, Strachan Christian C
Assistant Professor of Clinical Emergency Medicine, Indiana University School of Medicine, IU Health Ball Memorial Hospital, Muncie, IN, USA.
Assistant Professor of Clinical Emergency Medicine and Executive Vice Chair of Clinical Affairs, Indiana University School of Medicine, Muncie, IN, USA.
J Surg Case Rep. 2021 Feb 16;2021(2):rjab022. doi: 10.1093/jscr/rjab022. eCollection 2021 Feb.
One of the most common urological emergencies encountered in pediatric patients in the emergency department (ED) is the acute scrotum. We present the case of a 4-month-old male that presented to our community ED with scrotal swelling and vomiting of 16-hours duration. He was diagnosed with a functional testicular torsion from an incarcerated inguinal hernia, transferred to a hospital with pediatric urological capabilities and was taken to the operating room ~2 hours later. His hospital course was unremarkable, and he was discharged on day 3, having made a full recovery without any loss of bowel or testicle. There have only been a handful of cases in the literature of a pediatric patient presenting with a functional testicular torsion as a result of spermatic cord compression from an indirect inguinal hernia, with no reported cases of complete salvage at nearly 18 hours since symptom onset.
急诊科儿科患者最常见的泌尿系统急症之一是急性阴囊。我们报告一例4个月大男性患儿，因阴囊肿胀和持续16小时的呕吐前来我们社区急诊科就诊。他被诊断为嵌顿性腹股沟疝导致的功能性睾丸扭转，随后被转至具备儿科泌尿外科能力的医院，并在约2小时后被送往手术室。他的住院过程顺利，于第3天出院，完全康复，未出现肠管或睾丸丢失情况。文献中仅有少数儿科患者因间接腹股沟疝压迫精索导致功能性睾丸扭转的病例，自症状出现近18小时以来，尚无完全挽救成功的病例报道。
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