Department of Paediatric Surgery, KK Women's and Children's Hospital, Singapore
Department of Paediatric Surgery, KK Women's and Children's Hospital, Singapore.
BMJ Case Rep. 2024 Jun 13;17(6):e259222. doi: 10.1136/bcr-2023-259222.
Spontaneous pampiniform plexus thrombosis is an extremely rare condition. Its aetiology and pathophysiology are unknown, and its diagnosis remains challenging. We present the first case of an adolescent patient with bilateral spontaneous pampiniform plexus thrombosis. He presented with a 2-day history of bilateral testicular pain. Biochemical investigations were unremarkable, and the patient did not have any risk factors. Ultrasound of the scrotum demonstrated bilateral pampiniform plexus thrombosis. He was managed conservatively and repeat scrotal ultrasound 3 months later revealed complete resolution. This case adds to the minimal literature on spontaneous pampiniform plexus thrombosis, supporting diagnosis via scrotal ultrasound while recommending conservative management without the use of anticoagulation for patients with no pre-existing coagulopathy.
自发性精索蔓状丛血栓形成是一种极其罕见的情况。其病因和病理生理学尚不清楚，诊断仍然具有挑战性。我们报告首例青少年双侧自发性精索蔓状丛血栓形成患者。他因双侧睾丸疼痛就诊，病史为 2 天。生化检查未见异常，患者也没有任何危险因素。阴囊超声显示双侧精索蔓状丛血栓形成。患者接受了保守治疗，3 个月后重复阴囊超声显示完全缓解。该病例增加了关于自发性精索蔓状丛血栓形成的文献记载，支持通过阴囊超声进行诊断，并建议对无潜在凝血障碍的患者采用保守治疗而无需抗凝。
