Newhouse Hannah, Minardi Joseph, Rawlins Frederic
West Virginia University Camden Clark Medical Center, Department of Emergency Medicine, Parkersburg, West Virginia.
Virginia College of Osteopathic Medicine, Department of Emergency Medicine, Blacksburg, Virginia.
Clin Pract Cases Emerg Med. 2022 Feb;6(1):75-77. doi: 10.5811/cpcem.2021.12.54845.
A myriad of pathologies can cause abdominal pain. Genitourinary causes including testicular torsion must be considered.
In this report, we present a 17-year-old male evaluated in the emergency department for lower abdominal pain. After physical exam, computed tomography, and ultrasound were completed, torsion of undescended testicle within the inguinal canal was diagnosed. Surgical exploration revealed a twisted, ischemic testis, and subsequent orchiectomy was performed.
This case highlights the importance of a thorough genitourinary exam in patients with lower abdominal pain.
多种病理情况可导致腹痛。必须考虑包括睾丸扭转在内的泌尿生殖系统病因。
在本报告中,我们介绍了一名17岁男性,因下腹部疼痛在急诊科接受评估。体格检查、计算机断层扫描和超声检查完成后,诊断为腹股沟管内隐睾扭转。手术探查发现睾丸扭转、缺血,随后进行了睾丸切除术。
本病例强调了对下腹部疼痛患者进行全面泌尿生殖系统检查的重要性。