Wu Sarah Y, Gibbs Evan Mackenize, Klose Charles, Qosja Neda, Zganjar Andrew, Baird Bryce A
Mayo Clinic Alix School of Medicine, Scottsdale, AZ, USA.
Mayo Clinic Florida, Department of Urology, Jacksonville, FL, USA.
Urol Case Rep. 2024 Jun 21;56:102775. doi: 10.1016/j.eucr.2024.102775. eCollection 2024 Sep.
Vaso-occlusive crisis is a sequela of sickle cell disease that can lead to severe pain and infarction at the location of occlusion. In men, genitourinary complications include priapism, hematuria, and very rarely, testicular infarction. Few cases have been previously reported in the literature, but in all of those cases, partial or complete orchiectomy was performed. We report the first known case of segmental testicular infarct secondary to sickle cell disease treated with medical management without need for surgical intervention.
血管闭塞性危机是镰状细胞病的一种后遗症，可导致闭塞部位出现严重疼痛和梗死。在男性中，泌尿生殖系统并发症包括阴茎异常勃起、血尿，以及极为罕见的睾丸梗死。此前文献中鲜有病例报道，但所有这些病例均进行了部分或全睾丸切除术。我们报告了首例已知的镰状细胞病继发节段性睾丸梗死病例，该病例通过药物治疗得以治愈，无需手术干预。
