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隐睾扭转导致腹痛的病例报告

Case Report of Torsion of Cryptorchid Testis Causing Abdominal Pain.

作者信息

Newhouse Hannah, Minardi Joseph, Rawlins Frederic

机构信息

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.

出版信息

Clin Pract Cases Emerg Med. 2022 Feb;6(1):75-77. doi: 10.5811/cpcem.2021.12.54845.

DOI:10.5811/cpcem.2021.12.54845
PMID:35226855
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8885211/
Abstract

INTRODUCTION

A myriad of pathologies can cause abdominal pain. Genitourinary causes including testicular torsion must be considered.

CASE REPORT

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.

CONCLUSION

This case highlights the importance of a thorough genitourinary exam in patients with lower abdominal pain.

摘要

引言

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。

病例报告

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。

结论

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6f1/8885211/c99c3c8e3b48/CPCEM-6-75-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6f1/8885211/db6bd0c39e25/CPCEM-6-75-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6f1/8885211/64f33cdea192/CPCEM-6-75-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6f1/8885211/c99c3c8e3b48/CPCEM-6-75-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6f1/8885211/db6bd0c39e25/CPCEM-6-75-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6f1/8885211/64f33cdea192/CPCEM-6-75-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6f1/8885211/c99c3c8e3b48/CPCEM-6-75-g003.jpg

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本文引用的文献

1
Testicular torsion in undescended testis: A persistent challenge.隐睾中的睾丸扭转:一项持续存在的挑战。
Asian J Urol. 2017 Apr;4(2):111-115. doi: 10.1016/j.ajur.2016.05.007. Epub 2016 Jun 26.
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Testicular torsion: diagnosis, evaluation, and management.睾丸扭转:诊断、评估与处理。
Am Fam Physician. 2013 Dec 15;88(12):835-40.
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Pediatric testicular torsion epidemiology using a national database: incidence, risk of orchiectomy and possible measures toward improving the quality of care.利用国家数据库研究小儿睾丸扭转的流行病学:发病率、睾丸切除术风险以及提高医疗质量的可能措施。
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Cryptorchidism.隐睾症
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A 19-year review of paediatric patients with acute scrotum.对小儿急性阴囊患者的19年回顾。
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Torsion of the cryptorchid testis--can it be salvaged?隐睾扭转——还能挽救吗?
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