A rare case of bilateral testicular torsion in a 57-year-old man.
A rare case of bilateral testicular torsion in a 57-year-old man.
复制标题
DOI：
10.1002/emp2.12545
复制
发表时间：
2021-10
影响因子：
2.3
通讯作者：
Hwang CW
中科院分区：
文献类型：
--
作者：
Smith T;Gross CL;Ryan M;Hwang CW
睾丸扭转，睾丸或精索的扭曲，使睾丸处于血管受损的危险中，是一种外科急诊。睾丸扭转主要是单侧的（98%的扭转病例），主要影响新生儿和青少年，呈双峰分布。双侧睾丸扭转是非常罕见的（2%的病例），并与新生儿。据作者所知，尚未有24岁以上成年男性双侧扭转的报告。一名57岁的男子在举起割草机时出现睾丸疼痛9天后到急诊室就诊。在外部机构进行的超声检查无异常。鼓励他作为门诊患者接受泌尿科随访。尽管门诊镇痛，他继续经历疼痛，并返回艾德，重复超声检查显示双侧扭转伴灌注不足。虽然睾丸扭转是罕见的，临床医生必须认识扭转，如果不及时治疗，扭转导致不育。以往的文献认为，双侧睾丸扭转的超声检查结果应归因于“技术故障”，而不是一个合理的诊断。然而，该病例表明了保持高度怀疑的重要性，特别是对于非典型年龄范围和病理表现，特别是在育龄男性中。
Testicular torsion, the twisting of the testis or spermatic cord, places the testis at risk of vascular compromise and is a surgical emergency. Testicular torsion is predominantly unilateral (98% of torsion cases) and primarily affects neonates and adolescents in a bimodal distribution. Bilateral testicular torsion is exceedingly rare (2% of cases) and is associated with neonates. To the authors’ best knowledge, there have been no reports of bilateral torsion in adult males over the age of 24. A 57‐year‐old man presented to the emergency department 9 days after developing testicular pain while lifting his lawnmower. Ultrasonography performed at an outside facility was unremarkable. He was encouraged to followup with urology as an outpatient. Despite outpatient analgesia, he continued to experience pain and returned to the ED, where repeat ultrasonography demonstrated bilateral torsion with hypoperfusion. Although testicular torsion is uncommon, the clinician must recognize torsion; if left untreated, torsion leads to infertility. Previous publications suggest that ultrasonographic findings of bilateral testicular torsion should be attributed to “technical failure” rather than a plausible diagnosis. However, this case demonstrates the importance of maintaining a high index of suspicion, especially with an atypical age range and pathological presentation, particularly among men during their reproductive years.
登录
查看更多内容
影响因子：
6.6
作者：
BARTSCH, G;FRANK, S;MIKUZ, G
通讯作者：
MIKUZ, G
影响因子：
2.6
作者：
Greear, Garrick M.;Romano, Michael F.;Rague, James T.
通讯作者：
Rague, James T.
影响因子：
0.5
作者：
Tang, Yu Ho;Yeung, Victor Hip Wo;Man, Chi Wai
通讯作者：
Man, Chi Wai
影响因子：
0.9
作者：
Dindyal, S.;Kumaraswamy, P.;Sooriakumaran, P.
通讯作者：
Sooriakumaran, P.
影响因子：
0.5
作者：
Alqasem, Saad;Alhamdan, Abdulmajeed;Alfakhri, Abdullah
通讯作者：
Alfakhri, Abdullah