Lynch D F, Peterson N R, Powell R W
Urology. 1983 Jan;21(1):68-9. doi: 10.1016/0090-4295(83)90130-9.
Unilateral scrotal inflammation was noted in an otherwise asymptomatic three-day-old male and was initially believed to be due to testicular torsion. It proved, however, to be the result of peritonitis from a thermometer-induced rectal perforation presenting via a communicating hydrocele. Treatment included primary closure of the rectal perforation with colostomy diversion combined with parenteral antibiotics. Preoperative evaluation of neonates with acute unilateral inflammation of the scrotum and a known hydrocele or hernia with flat and oblique x-ray films may reveal significant unsuspected intra-abdominal pathology.
一名3日龄无症状男婴出现单侧阴囊炎症，最初认为是睾丸扭转所致。然而，经证实是由体温计导致的直肠穿孔引起的腹膜炎，通过交通性鞘膜积液表现出来。治疗包括直肠穿孔一期缝合、结肠造口转流术并联合胃肠外抗生素治疗。对于患有急性单侧阴囊炎症且已知有鞘膜积液或疝气的新生儿，术前行腹部平片和斜位片检查可能会发现未被怀疑的严重腹腔内病变。
