Wakabayashi Y, Bush W H
Department of Radiology, Tokyo Medical College, Japan.
J Emerg Med. 1994 Sep-Oct;12(5):603-5. doi: 10.1016/0736-4679(94)90410-3.
A case of pneumoscrotum after a suicide jump with blunt chest trauma and chest tube placement is reported. Pneumoscrotum itself has little clinical importance, but it is essential for the clinician to determine the origin of the air, and a careful search for the source of air is necessary. Three possible routes of air in the pneumoscrotum are reviewed. Many reported cases, including this case, had a cause distant from the pelvis: air dissected subcutaneously to the scrotum because of pneumothorax, tube thoracostomy, and air leak combined with ventilatory resuscitation efforts.
报告了一例自杀性坠楼后出现钝性胸部创伤并放置胸管后发生阴囊积气的病例。阴囊积气本身临床意义不大，但临床医生确定气体来源至关重要，必须仔细寻找气体来源。本文回顾了阴囊积气中气体的三种可能途径。包括该病例在内的许多报道病例，气体来源都远离骨盆：由于气胸、胸腔闭式引流术以及气体泄漏并伴有通气复苏努力，气体经皮下扩散至阴囊。
