Ali Mahamudu A, Oyortey Mawuenyo, Maalman Raymond S, Donkor Otchere Y, Quarshie Henrietta
Department of Surgery, School of Medicine, University of Health and Allied Sciences, Ho, Ghana.
Department of Basic Medical Sciences, School of Medicine, University of Health and Allied Sciences, Ho, Ghana.
J Surg Case Rep. 2021 May 18;2021(5):rjab191. doi: 10.1093/jscr/rjab191. eCollection 2021 May.
Testicular torsion is a urologic emergency that requires surgical intervention. Its diagnosis is rarely made in elderly men especially the subset of men on urethral catheter. As a result, delayed diagnosis and surgical exploration occur leading to testicular infarction with necrosis, abscess formation and ultimately orchidectomy. We report a 73-year-old urologic patient referred with a 2-month history of transurethral catheterization to relieve retention of urine with subsequent scrotal pains and fever. Physical examination showed left hemi-scrotal swelling and normal right hemi-scrotal findings. A Doppler scan done showed an intratesticular fluid collection with no blood flow in the left testes. This case illustrates the need to include testicular torsion when diagnosing geriatric men with transurethral catheter presenting with any acute scrotal pains. We, therefore, recommend a detailed history and physical examination in addition to a colour Doppler ultrasound scan in making a diagnosis.
睾丸扭转是一种需要手术干预的泌尿外科急症。在老年男性中，尤其是使用尿道导管的男性亚组中，很少能做出其诊断。因此，会出现诊断延迟和手术探查，导致睾丸梗死伴坏死、脓肿形成，最终进行睾丸切除术。我们报告一例73岁的泌尿外科患者，因经尿道插管2个月以缓解尿潴留，随后出现阴囊疼痛和发热前来就诊。体格检查显示左侧半阴囊肿胀，右侧半阴囊检查结果正常。多普勒扫描显示左侧睾丸内有液体积聚，无血流信号。该病例表明，在诊断患有经尿道导管且出现任何急性阴囊疼痛的老年男性时，需要考虑睾丸扭转。因此，我们建议在进行诊断时，除了彩色多普勒超声扫描外，还应进行详细的病史询问和体格检查。
