Servei d'Angiologia i Cirurgia Vascular, Hospital Universitari de Tarragona Joan XXIII, Tarragona, Spain.
Servei d'Angiologia i Cirurgia Vascular, Hospital Universitari de Tarragona Joan XXIII, Tarragona, Spain
BMJ Case Rep. 2021 May 11;14(5):e240999. doi: 10.1136/bcr-2020-240999.
Testicular ischaemia after endovascular aortic aneurysm repair (EVAR) is a very uncommon complication. There are only a few cases reported in the literature and the pathogenesis remains unclear. We report a case of unilateral testicular ischaemia in the early postoperative period after EVAR.A 78-year-old man underwent standard EVAR without immediate complications. Twenty-four hours after the procedure, the patient developed sudden onset of right scrotal pain and a low-grade fever. Urgent testicular ultrasound showed ischaemic signs compromising 75% of the testicle. The patient was successfully managed with conservative treatment.Although the pathogenesis is unknown, acute thrombosis of the testicle feeding arteries is postulated as the main hypothesis in the physiopathogenesis.
腹主动脉瘤腔内修复术后（EVAR）发生睾丸缺血是一种非常罕见的并发症。文献中仅报道了少数几例，其发病机制尚不清楚。我们报告一例 EVAR 术后早期单侧睾丸缺血。一位 78 岁男性接受了标准的 EVAR，术后无即刻并发症。术后 24 小时，患者突发右侧阴囊疼痛伴低热。紧急睾丸超声显示 75%的睾丸有缺血迹象。患者经保守治疗成功。虽然发病机制尚不清楚，但睾丸供养动脉的急性血栓形成被认为是其主要病理生理学假说。
