Lerman S H, Lerman P H
J Urol. 1981 Jan;125(1):130-1. doi: 10.1016/s0022-5347(17)54930-7.
We present 2 cases of spontaneous idiopathic spermatic cord hematoma and review the literature. These hematomas predominately occur in untraumatized young adults after physically stressful exercise. Surgical exploration was performed in 4 previously reported cases and our own. In each case the preoperative diagnosis was incorrect. Since this clinical entity cannot clearly be distinguished from other causes of an acute scrotum surgical exploration seems warranted. Possible etiologies of spontaneous idiopathic spermatic cord hematoma are spermatic cord vein rupture and tear in the cremasteric muscle.
我们报告2例自发性特发性精索血肿病例并回顾相关文献。这些血肿主要发生在未受过外伤的年轻成年人，常在剧烈运动后出现。在之前报道的4例病例及我们自己的病例中均进行了手术探查。每例病例术前诊断均有误。由于这种临床病症无法与急性阴囊的其他病因明确区分，因此似乎有必要进行手术探查。自发性特发性精索血肿的可能病因是精索静脉破裂和提睾肌撕裂。
