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儿童蝎子蜇伤后伴阴茎血肿的阴茎异常勃起:1例罕见病例报告

Priapism associated with penile haematoma following a scorpion sting in a child: A rare case report.

作者信息

Bellouki Omar, El Bote Hicham, Lakssir Jihad, Boughaleb Abdelmounim, Abaair Youssef

机构信息

Department of Urology A, Ibn Sina University Hospital of Rabat, Morocco.

Department of Surgery, Regional Hospital Center of Beni Mellal, Morocco.

出版信息

Urol Case Rep. 2023 Jul 19;50:102508. doi: 10.1016/j.eucr.2023.102508. eCollection 2023 Sep.

DOI:10.1016/j.eucr.2023.102508
PMID:37576488
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10412883/
Abstract

Priapism is a rare condition in paediatrics. Although its association with scorpion envenomation has been documented, cases involving an associated penile haematoma are extremely rare. To the best of our knowledge, we hereby present the first documented case of this unique association in a nine-year-old boy following a scorpion sting. The purpose of this observation is to discuss the diagnostic difficulties, management strategies, and possible mechanisms associated with this unusual manifestation, and to highlight the importance of prompt recognition and appropriate management of priapism and penile haematoma in children, particularly those living in areas where scorpion stings are endemic.

摘要

阴茎异常勃起在儿科中是一种罕见病症。尽管其与蝎子蜇伤的关联已有文献记载,但涉及相关阴茎血肿的病例极为罕见。据我们所知,在此我们呈现首例有记录的9岁男孩蝎子蜇伤后出现这种独特关联的病例。本观察的目的是讨论与此异常表现相关的诊断难点、管理策略及可能机制,并强调及时识别和妥善处理儿童阴茎异常勃起及阴茎血肿的重要性,尤其是那些生活在蝎子蜇伤流行地区的儿童。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4864/10412883/6abf33ea6467/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4864/10412883/24b9ed2b4009/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4864/10412883/40ffeaced469/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4864/10412883/6abf33ea6467/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4864/10412883/24b9ed2b4009/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4864/10412883/40ffeaced469/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4864/10412883/6abf33ea6467/gr3.jpg

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引用本文的文献

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Case Report: Scorpion Envenomation with Delayed Ischemic Priapism in a Preadolescent-An Unusual Presentation.病例报告:青春期前儿童的蝎子蛰伤伴延迟性缺血性阳茎持续勃起——一种不常见的表现。
Am J Trop Med Hyg. 2024 Jul 23;111(4):911-913. doi: 10.4269/ajtmh.24-0223. Print 2024 Oct 2.

本文引用的文献

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Scorpion envenomation: state of the art.蝎螫伤:最新进展。
Intensive Care Med. 2020 Mar;46(3):401-410. doi: 10.1007/s00134-020-05924-8. Epub 2020 Mar 3.
2
Priapism in children: a comprehensive review and clinical guideline.儿童阴茎异常勃起:全面综述与临床指南
J Pediatr Urol. 2014 Feb;10(1):11-24. doi: 10.1016/j.jpurol.2013.07.024. Epub 2013 Sep 8.
3
New insights on arthropod toxins that potentiate erectile function.关于增强勃起功能的节肢动物毒素的新见解。
Toxicon. 2013 Jul;69:152-9. doi: 10.1016/j.toxicon.2013.03.017. Epub 2013 Apr 10.