Goldberg S D, Witchell S J
Department of Surgery, Wellesley Hospital, University of Toronto, Ont.
Can J Surg. 1988 Jul;31(4):246-7.
The authors report a case of right ureteropelvic junction obstruction in an otherwise healthy 31-year-old man. Because of previous surgical manipulation of the right testicle, the diagnosis was obscured, delaying therapeutic intervention. Renal pain often refers to the testicle and groin, and testicular pain to the flank. Therefore evaluation of organs in the primary referral distribution must be considered in cases of obscure intractable pain in this area.
作者报告了一例31岁健康男性右侧输尿管肾盂连接处梗阻的病例。由于之前对右侧睾丸进行过手术操作,诊断受到干扰,延误了治疗干预。肾区疼痛常牵涉到睾丸和腹股沟,而睾丸疼痛则牵涉到侧腹。因此,对于该区域不明原因的顽固性疼痛病例,必须考虑对初次转诊分布区域内的器官进行评估。