Noujeim Jean-Paul, Ibrahim Serge, Noujeim Antoine, Haddad Youssef
Department of Urology, Lebanese Hospital Geitaoui University Medical Center, Beirut, LBN.
Division of Urology, Faculty of Medical Sciences, Lebanese University, Beirut, LBN.
Cureus. 2021 Aug 18;13(8):e17270. doi: 10.7759/cureus.17270. eCollection 2021 Aug.
Pneumoscrotum is the term used to indicate the presence of air in the scrotum and comprises scrotal emphysema and pneumatocele. It is an uncommon medical condition and encompasses multiple etiologies, some of which may be life-threatening. We present the case of a 45-year-old male who developed a pneumoscrotum seven days after undergoing a thoracoscopy with decortication, pleural biopsy, and chest tube insertion, for a loculated pleural effusion not amenable to drainage by a pigtail catheter. The patient was diagnosed with a bronchopleural fistula and was treated conservatively with negative chest tube pressure. Treatment of the fistula and of the resulting pneumothorax allowed resorption of the pneumoscrotum. The associated literature is reviewed after the case presentation. This case report underlines the importance of evaluating a pneumoscrotum that should not be underestimated.
阴囊积气是指阴囊内存在气体，包括阴囊气肿和阴囊气囊肿。它是一种罕见的病症，病因多样，其中一些可能危及生命。我们报告一例45岁男性病例，该患者在因局限性胸腔积液无法通过猪尾导管引流而接受胸腔镜剥脱术、胸膜活检及胸腔闭式引流术后7天出现阴囊积气。患者被诊断为支气管胸膜瘘，并采用胸腔闭式引流负压保守治疗。瘘口及由此导致的气胸得到治疗后，阴囊积气得以吸收。病例报告后对相关文献进行了综述。本病例报告强调了评估阴囊积气的重要性，不应低估它。
