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1
Spontaneous idiopathic intratesticular hemorrhage as a differential diagnosis for acute scrotal pain.自发性特发性睾丸内出血作为急性阴囊疼痛的鉴别诊断。
BMC Urol. 2023 May 3;23(1):79. doi: 10.1186/s12894-023-01255-0.
2
Spontaneous intratesticular hemorrhage in a 15-year-old boy.15 岁男孩睾丸自发性出血。
Urology. 2011 Oct;78(4):915-7. doi: 10.1016/j.urology.2010.12.057. Epub 2011 Apr 3.
3
Spontaneous intratesticular hemorrhage: two case descriptions and brief review of the literature.自发性睾丸内出血：两例病例描述并简要复习文献。
J Ultrasound Med. 2011 Jan;30(1):101-4. doi: 10.7863/jum.2011.30.1.101.
4
Ultrasound evaluation of scrotal pathology.阴囊病变的超声评估。
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[Segmental infarction of the testis presenting as acute scrotum: a case report].[以急性阴囊表现的睾丸节段性梗死：一例报告]
Hinyokika Kiyo. 2009 May;55(5):281-4.
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Emergency ultrasound of acute scrotal pain.急性阴囊疼痛的急诊超声检查
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[Pathological findings in the scrotum and testis and initial diagnostic management].[阴囊和睾丸的病理检查结果及初步诊断处理]
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Idiopathic scrotal fat necrosis: an unusual cause of scrotal pain.特发性阴囊脂肪坏死：阴囊疼痛的一种罕见病因。
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本文引用的文献

1
Spontaneous intratesticular hemorrhage in a 15-year-old boy.15 岁男孩睾丸自发性出血。
Urology. 2011 Oct;78(4):915-7. doi: 10.1016/j.urology.2010.12.057. Epub 2011 Apr 3.
2
Spontaneous intratesticular hemorrhage: two case descriptions and brief review of the literature.自发性睾丸内出血：两例病例描述并简要复习文献。
J Ultrasound Med. 2011 Jan;30(1):101-4. doi: 10.7863/jum.2011.30.1.101.
3
Spontaneous testicular hemorrhage in an adolescent.
J Urol. 2003 Jan;169(1):303-4. doi: 10.1016/S0022-5347(05)64111-0.
4
Spontaneous intratesticular haemorrhage.自发性睾丸内出血。
Urol Int. 1991;46(1):107-8. doi: 10.1159/000281793.

自发性特发性睾丸内出血作为急性阴囊疼痛的鉴别诊断。

Spontaneous idiopathic intratesticular hemorrhage as a differential diagnosis for acute scrotal pain.

机构信息

Urology Division, Department of Clinical Medical Sciences, Faculty of Medicine, Yarmouk University, Irbid, Jordan.

Department of Pathology and Laboratory Medicine, Ministry of Health, Amman, Jordan.

出版信息

BMC Urol. 2023 May 3;23(1):79. doi: 10.1186/s12894-023-01255-0.

DOI:10.1186/s12894-023-01255-0
PMID:37138263
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10155294/
Abstract

BACKGROUND

Spontaneous idiopathic testicular hemorrhage is an extremely rare entity with few published reports in the literature.

CASE PRESENTATION

We report a case of a 15-year-old boy who had been experiencing intense, left scrotal pain for the previous twelve hours. No previous history of trauma or bleeding disorders. The left testis was enlarged and tender. Left orchiectomy was performed. The entire testis was dusty and dark grossly. Microscopic sections show diffuse intratesticular bleeding with intact seminiferous tubules and spermatogenesis.

CONCLUSIONS

Spontaneous idiopathic testicular hemorrhage should be considered when evaluating patients with acute scrotal pain. Clinical and ultrasonographic findings and histopathologic evaluation are mandatory to diagnose it.

摘要

背景

自发性特发性睾丸出血是一种极为罕见的疾病，文献中仅有少数报道。

病例报告

我们报告了一例 15 岁男孩的病例，他在过去 12 小时内经历了剧烈的左侧阴囊疼痛。无既往创伤或出血性疾病史。左侧睾丸肿大且触痛。行左侧睾丸切除术。整个睾丸大体上呈尘土飞扬且暗褐色。显微镜下切片显示弥漫性睾丸内出血，生精小管和精子发生完整。

结论

当评估急性阴囊疼痛患者时，应考虑自发性特发性睾丸出血。临床、超声和组织病理学评估是诊断该病的必要条件。