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嵌顿性腹股沟疝合并阑尾炎表现为急性睾丸疼痛:一例报告

Appendicitis Within an Incarcerated Inguinal Hernia Presenting as Acute Testicular Pain: A Case Report.

作者信息

Lepore Fred A, Schnick Daniel

机构信息

Emergency Medicine, Franciscan Health, Olympia Fields, USA.

出版信息

Cureus. 2024 Nov 25;16(11):e74414. doi: 10.7759/cureus.74414. eCollection 2024 Nov.

Abstract

Testicular pain is a common complaint in emergency departments, with a wide range of underlying pathologies. Incarcerated inguinal hernias are an emergent and often overlooked cause of testicular pain, necessitating prompt diagnosis and management. These cases can be complex, especially when the hernia contents obscure the clinical picture. Here, we present the case of a 34-year-old male patient who presented with testicular pain and swelling, ultimately diagnosed with appendicitis within the scrotum. This appendicitis led to an incarcerated inguinal hernia requiring emergent surgical intervention. The patient had an uneventful postoperative course and remained well at the two-month follow-up.

摘要

睾丸疼痛是急诊科常见的主诉,其潜在病因广泛。嵌顿性腹股沟疝是导致睾丸疼痛的一种紧急且常被忽视的病因,需要及时诊断和处理。这些病例可能较为复杂,尤其是当疝内容物使临床表现不清晰时。在此,我们报告一例34岁男性患者,他因睾丸疼痛和肿胀就诊,最终被诊断为阴囊内阑尾炎。这种阑尾炎导致了嵌顿性腹股沟疝,需要紧急手术干预。患者术后恢复顺利,在两个月的随访中情况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f4/11587999/80636738b501/cureus-0016-00000074414-i01.jpg

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