根治性腹股沟睾丸切除术后腹膜后血肿的放射学鉴别诊断与处理：病例报告
Radiological differential diagnosis and management of retroperitoneal hematomas posterior to radical inguinal orchiectomies. A case report.
作者信息
Escobar-Urrejola Santiago, Astroza Gastón, Del Valle Felipe, Fuentes Alberto, Zúñiga Álvaro
机构信息
Emergency Department, Hospital Sótero del Río, Avenida Concha y Toro 3459, Puente Alto, Región Metroplitana, 81500000, Chile.
Urology Department, Pontificia Universidad Católica de Chile, Diagonal Paraguay 362, Santiago, Región Metropolitana, 8320000, Chile.
出版信息
Urol Case Rep. 2022 Feb 2;42:102020. doi: 10.1016/j.eucr.2022.102020. eCollection 2022 May.
INTRODUCTION
Retroperitoneal hematomas are rare complications of radical inguinal orchiectomy. This case report discusses their radiological differential diagnosis and management.
CASE PRESENTATION
A radical inguinal orchiectomy was performed on a 27-year-old patient. After discharge, he referred back pain. Computed tomography showed a retroperitoneal hematoma. A conservative approach was decided.
DISCUSSION
Traditionally, retroperitoneal hematomas have been considered possible radiologic pitfalls, which has therapeutical implications. This pitfall seems less likely in contemporary clinical practice.A conservative approach is preferred in stable patients, whereas active management should be offered to unstable patients.
CONCLUSION
Future studies are necessary to offer evidence-based therapeutical options.
引言
腹膜后血肿是根治性腹股沟睾丸切除术罕见的并发症。本病例报告讨论了其放射学鉴别诊断及处理方法。
病例介绍
对一名27岁患者实施了根治性腹股沟睾丸切除术。出院后，他出现了背痛。计算机断层扫描显示有腹膜后血肿。决定采取保守治疗方法。
讨论
传统上，腹膜后血肿一直被认为是可能的放射学陷阱，这具有治疗意义。在当代临床实践中，这种陷阱似乎不太可能出现。对于病情稳定的患者，首选保守治疗方法，而对于病情不稳定的患者，则应采取积极的治疗措施。
结论
有必要进行进一步研究以提供基于证据的治疗选择。
Zotero 插件