Haakonsen P, Hagen R H
Anestesiavdelingen, Buskerud sentralsykehus, Drammen.
Tidsskr Nor Laegeforen. 1998 Sep 30;118(23):3616-7.
Usually, acute scrotum in infants is due to torsion, but there are reasons to believe that primary inflammation occurs more often than supposed. Urethrovasal reflux is the primary mechanism, and it is often associated with urogenital anomalies among infants and dysfunctional voiding among young boys. Colour Doppler ultrasound, scintigraphy and surgical exploration are the tools for differentiating epididymitis from torsion. We present a six months' old child with epididymitis, who was investigated because of suspected torsion. The investigations showed bacteruria, but no anomalies.
通常,婴儿急性阴囊炎是由扭转引起的,但有理由相信原发性炎症的发生比预想的更为常见。尿道输精管反流是主要机制,并且它常与婴儿泌尿生殖系统异常以及小男孩排尿功能障碍相关。彩色多普勒超声、闪烁扫描术和手术探查是区分附睾炎与扭转的手段。我们报告一名6个月大患附睾炎的儿童,该患儿因疑似扭转而接受检查。检查显示有菌尿,但无异常。