Justrabo E, Martin L, Athias A, Rancke A, Billotey C
Laboratoire d'Anatomie Pathologique, CHU DIJON.
Arch Anat Cytol Pathol. 1998;46(3):208-12.
Scrotal panniculitis or scrotal fat necrosis is an uncommon acute scrotal pathology. We report a case of scrotal fat necrosis in a 9 1/2 year-old over-weight boy with bilateral tender scrotal masses, located beneath the tests. Pathologic findings were those of subcutaneous fatty indurated masses with lipogranulomatous foci. The etiology of scrotal fat necrosis is unknown. A similar condition has been described in young children exposed to cold. In obese prepubescent boys, a greater sensitivity to cold and a higher saturated fatty acid concentration of the scrotal adipose tissue would induce fat necrosis. Our study of fatty acid composition by gas-liquid chromatography showed an elevation of stearic acid. The spontaneous resolution of scrotal fat necrosis is always the rule and allows symptomatic treatment without surgical investigation.
阴囊脂膜炎或阴囊脂肪坏死是一种罕见的急性阴囊病变。我们报告一例9岁半超重男孩发生阴囊脂肪坏死的病例，其双侧阴囊肿块有压痛，位于睾丸下方。病理检查结果为皮下脂肪硬结性肿块伴脂肪肉芽肿病灶。阴囊脂肪坏死的病因不明。在暴露于寒冷环境的幼儿中曾描述过类似情况。在肥胖的青春期前男孩中，对寒冷的更高敏感性以及阴囊脂肪组织中饱和脂肪酸浓度的升高会诱发脂肪坏死。我们通过气液色谱法对脂肪酸组成的研究显示硬脂酸升高。阴囊脂肪坏死通常会自行消退，无需手术探查，对症治疗即可。
