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被忽视的创伤性睾丸扭转:一名13岁青少年的临床、超声及手术相关性研究

Neglected trauma-induced testicular torsion: Clinical, sonographic, and surgical correlation in a 13-year-old adolescent.

作者信息

Ezzahi Manar, Malih Sara El, Ennasery Zaid, Boumahdi Naoufal, Akammar Amal, Bouardi Nizar El, Haloua Meriem, Alami Badreeddine, Lamrani Moulay Youssef Alaoui, Maaroufi Mustapha, Bouabdallah Youssef, Boubbou Meryem

机构信息

Department of Mother and Child Radiology, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco.

Department of Pediatric Surgery, CHU Hassan II Fez, Sidi Mohammed Ben Abdellah University, Fez, Morocco.

出版信息

Radiol Case Rep. 2023 Jul 22;18(10):3457-3462. doi: 10.1016/j.radcr.2023.07.008. eCollection 2023 Oct.

DOI:10.1016/j.radcr.2023.07.008
PMID:37502489
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10369384/
Abstract

Post-traumatic testicular torsion is a rare condition, accounting for approximately 4%-8% of all reported cases of testicular torsion in the literature. Prompt clinical suspicion and intervention are crucial; as testicular torsion is considered a medical and surgical emergency that may lead to testicular necrosis. Ultrasound imaging plays an important role in assessing the integrity of the traumatized scrotum and facilitating early detection of associated testicular torsion. In this case report, we present a neglected post-traumatic testicular torsion in a 13-year-old child that led to orchiectomy.

摘要

创伤后睾丸扭转是一种罕见病症,约占文献报道的所有睾丸扭转病例的4% - 8%。迅速的临床怀疑和干预至关重要;因为睾丸扭转被视为一种可能导致睾丸坏死的内科和外科急症。超声成像在评估受伤阴囊的完整性以及促进相关睾丸扭转的早期检测方面发挥着重要作用。在本病例报告中,我们呈现了一名13岁儿童被忽视的创伤后睾丸扭转,该病例导致了睾丸切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2f/10369384/6f8a9cfd7020/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2f/10369384/c87824e7bdc2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2f/10369384/4eb8dc1c7b6c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2f/10369384/71bca917b35f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2f/10369384/b418ce547205/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2f/10369384/2eec32f0bc75/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2f/10369384/2ff9b53622de/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2f/10369384/6f8a9cfd7020/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2f/10369384/c87824e7bdc2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2f/10369384/4eb8dc1c7b6c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2f/10369384/71bca917b35f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2f/10369384/b418ce547205/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2f/10369384/2eec32f0bc75/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2f/10369384/2ff9b53622de/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc2f/10369384/6f8a9cfd7020/gr7.jpg

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本文引用的文献

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Testicular torsion with preserved flow: key sonographic features and value-added approach to diagnosis.睾丸扭转伴血流保留:关键超声特征及诊断的增值方法
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Does color Doppler sonography improve the clinical assessment of patients with acute scrotum?彩色多普勒超声检查能否改善急性阴囊患者的临床评估?
Eur J Radiol. 2006 Oct;60(1):120-4. doi: 10.1016/j.ejrad.2006.04.016. Epub 2006 May 30.
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