Lin Y L, Lin M T, Huang G T, Chang Y L, Chang H, Wang S M, How S W
Department of Emergency Medicine, National Taiwan University Hospital, Taipei.
Am J Emerg Med. 1996 Nov;14(7):654-5. doi: 10.1016/S0735-6757(96)90081-9.
A 40-year-old man presented with fat necrosis of scrotum as the complication of acute pancreatitis. Excessive fluid accumulation in the pancreas and the extrapancreatic spaces, including around the spermatic cord, was seen on computed tomography. Surgical specimen showed typical fat necrosis of tunica vaginalis and the spermatic cord. After the surgery, pain of the testicle subsided completely, without recurrence. From the clinical presentation alone, it had been difficult to differentiate this patient's condition from torsion of the spermatic cord.
一名40岁男性因急性胰腺炎并发症出现阴囊脂肪坏死。计算机断层扫描显示胰腺及包括精索周围在内的胰腺外间隙有过多液体蓄积。手术标本显示鞘膜和精索典型的脂肪坏死。手术后，睾丸疼痛完全缓解，未复发。仅从临床表现来看，很难将该患者的病情与精索扭转区分开来。
