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急性全睾丸梗死：腹主动脉瘤血管内修复术后一种罕见且重要的并发症。

Acute global testicular infarction: A rare and important complication after endovascular abdominal aortic aneurysm repair.

作者信息

Kostenko Yulia, LaGrone Lacey, Cribari Chris

机构信息

General Surgery, Saint Joseph Hospital, Denver, CO.

Trauma and Acute Care Surgery, Medical Center of the Rockies, Loveland, CO.

出版信息

J Vasc Surg Cases Innov Tech. 2024 May 8;10(4):101522. doi: 10.1016/j.jvscit.2024.101522. eCollection 2024 Aug.

DOI:10.1016/j.jvscit.2024.101522
PMID:38952999
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11215112/
Abstract

Testicular ischemia is one of the most rarely reported complications of endovascular abdominal aortic aneurysm repair (EVAR). Although the pathogenesis remains unclear, thromboembolic events in the setting of testicular artery origin occlusion by the stent graft and poor baseline collateral testicular circulation are presumed causes. A 73-year-old man developed acute right testicular infarction 3 days after EVAR, requiring orchiectomy. This case emphasizes the importance of recognizing and evaluating testicular pain after EVAR and counseling patients on this possible EVAR complication.

摘要

睾丸缺血是血管腔内腹主动脉瘤修复术（EVAR）最罕见的并发症之一。尽管其发病机制尚不清楚，但推测原因是支架移植物阻塞睾丸动脉起源处的血栓栓塞事件以及睾丸侧支循环基线较差。一名73岁男性在接受EVAR术后3天发生急性右侧睾丸梗死，需要进行睾丸切除术。该病例强调了识别和评估EVAR术后睾丸疼痛以及就此可能的EVAR并发症对患者进行咨询的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c12c/11215112/aea9b7881819/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c12c/11215112/164956a41743/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c12c/11215112/698f1fb99730/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c12c/11215112/aea9b7881819/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c12c/11215112/164956a41743/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c12c/11215112/698f1fb99730/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c12c/11215112/aea9b7881819/gr3.jpg

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本文引用的文献

1
Testicular artery originating from the inferior mesenteric artery: an alert for interventionalists - A case report.发自肠系膜下动脉的睾丸动脉：给介入医师的警示——一例报告
Radiol Case Rep. 2021 Jul 16;16(9):2710-2713. doi: 10.1016/j.radcr.2021.06.059. eCollection 2021 Sep.
2
Testicular ischaemia: one of the most unknown of post-EVAR complications.睾丸缺血：EVAR 后最不为人知的并发症之一。
BMJ Case Rep. 2021 May 11;14(5):e240999. doi: 10.1136/bcr-2020-240999.
3
Acute testicular ischaemia following aortoiliac stenting for aortoiliac occlusive disease.
主动脉髂动脉闭塞性疾病行主动脉髂动脉支架置入术后的急性睾丸缺血
Asian J Urol. 2019 Oct;6(4):377-379. doi: 10.1016/j.ajur.2018.05.005. Epub 2018 May 17.
4
Acute Testicular Ischaemia Following Endovascular Aneurysm Repair on the Opposite Side to Intentional Internal Iliac Artery Occlusion.对侧髂内动脉有意闭塞后行血管内动脉瘤修复术并发急性睾丸缺血
EJVES Short Rep. 2019 May 23;43:28-32. doi: 10.1016/j.ejvssr.2019.04.005. eCollection 2019.
5
Testicular Infarction: A Rare Complication after Endovascular Abdominal Aortic Aneurysm Repair.睾丸梗死：腹主动脉瘤血管内修复术后的一种罕见并发症。
J Vasc Interv Radiol. 2019 Jul;30(7):1147-1150.e1. doi: 10.1016/j.jvir.2019.01.007. Epub 2019 May 24.
6
Acute Testicular Segmental Infarct Following Endovascular Repair of a Juxta-renal Abdominal Aortic Aneurysm: Case Report and Literature Review.肾旁腹主动脉瘤血管内修复术后急性睾丸节段性梗死：病例报告及文献综述
Urology. 2019 Apr;126:5-9. doi: 10.1016/j.urology.2018.11.030. Epub 2018 Dec 5.
7
Acute Global Testicular Infarction Post-EVAR from Cholesterol Embolisation can be Mistaken for Torsion.腔内修复术后胆固醇栓塞所致急性广泛性睾丸梗死可能被误诊为睾丸扭转。
EJVES Short Rep. 2017 Apr 4;35:11-15. doi: 10.1016/j.ejvssr.2017.03.002. eCollection 2017.
8
Post-endovascular aneurysm repair (EVAR) testicular ischemia: A rare complication.血管内动脉瘤修复术（EVAR）后睾丸缺血：一种罕见的并发症。
Urol Case Rep. 2017 Jul 8;14:35-37. doi: 10.1016/j.eucr.2017.06.013. eCollection 2017 Sep.
9
Testicular Embolism After Endovascular Aneurysm Repair: A Rare Complication of Endovascular Repair of Abdominal Aortic Aneurysms.腹主动脉瘤腔内修复术后的睾丸栓塞：一种腹主动脉瘤腔内修复术的罕见并发症
Cardiovasc Intervent Radiol. 2015 Dec;38(6):1674-5. doi: 10.1007/s00270-015-1153-9. Epub 2015 Jun 24.
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Acute Testicular Ischemia following Endovascular Abdominal Aortic Aneurysm Repair Identified in the Emergency Department.急诊科发现的腹主动脉瘤血管内修复术后急性睾丸缺血
Case Rep Emerg Med. 2014;2014:591820. doi: 10.1155/2014/591820. Epub 2014 Jul 9.