Firman R, Heiselman D, Lloyd T, Mardesich P
Department of Emergency Medicine, Akron General Medical Center, Ohio.
Ann Emerg Med. 1993 Aug;22(8):1353-6. doi: 10.1016/s0196-0644(05)80122-2.
Pneumoscrotum is a rare condition that receives little discussion in standard texts of urology. The variety of possible etiologies for this condition include air accumulation from lung or retroperitoneal sources, surgical manipulations, or infection with gas-producing organisms. We report the case of a 79-year-old patient with pneumoscrotum who presented to the emergency department complaining of a swollen scrotum. Although Fournier's gangrene was suspected and the patient was taken to surgery, a small right apical pneumothorax that was not appreciated before surgery later was determined to have caused the pneumoscrotum. The process by which air may accumulate in the scrotum as well as differential diagnosis and treatment are discussed.
阴囊积气是一种罕见病症，在泌尿外科标准文献中鲜有讨论。该病症可能的病因多种多样，包括来自肺部或腹膜后腔的气体积聚、外科手术操作，或产气微生物感染。我们报告一例79岁阴囊积气患者，该患者因阴囊肿胀前往急诊科就诊。尽管怀疑为福尼尔坏疽并将患者送去手术，但术前未发现的右肺尖小气胸后来被确定为导致阴囊积气的原因。本文讨论了气体在阴囊内积聚的过程以及鉴别诊断和治疗方法。
