Deshmukh N, Kjellberg S I, Shaw P M
Section of General and Vascular Surgery, Guthrie Clinic, Sayre, PA 18840, USA.
Mil Med. 1995 Nov;160(11):597-8.
From 1976 to 1993 we inserted 160 chronic peritoneal dialysis catheters for renal failure patients. Three of these patients developed sudden onset of penile and scrotal edema after the catheter had been in place for several months. The first patient was diagnosed by instilling technetium sulfur colloid in the peritoneal cavity, which showed the radioisotope flowing via the right inguinal canal. He was operated on and the processus vaginalis was tied off and the scrotal and penile edema resolved. Subsequently, two more patients were seen with similar problems and had their inguinal canals explored and the processus vaginalis in one and the hernia sac in the other were found and tied off, which resulted in resolution of the problem. This is an uncommon complication, reported to occur in 3 to 4% of patients.
1976年至1993年期间，我们为肾衰竭患者插入了160根慢性腹膜透析导管。其中3例患者在导管置入数月后突然出现阴茎和阴囊水肿。第一例患者通过向腹腔内注入硫化锝进行诊断，结果显示放射性同位素经右侧腹股沟管流动。他接受了手术，闭合了鞘突，阴囊和阴茎水肿消退。随后，又有2例患者出现类似问题，对其腹股沟管进行探查，发现其中1例的鞘突和另1例的疝囊并将其闭合，问题得以解决。这是一种罕见的并发症，据报道发生率为3%至4%。
