脊髓损伤患者继发于附睾-睾丸炎的睾丸梗死一例

V. Chang, Tiffany Ho, Q. Ho, K. Leong
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引用次数: 0

摘要

近年来,有越来越多的病例报道继发于附睾睾丸炎的睾丸梗死。然而,这种情况在脊髓损伤患者中很少有报道。这类患者有较高的附睾睾丸炎患病率,由于伤害性知觉改变或缺失,评估其进展为睾丸梗死可能很困难,导致不必要的手术治疗延迟。我们报告一例伴有C5/6完全性脊髓损伤的附睾睾丸炎患者,其临床过程并发睾丸梗死,需要左侧睾丸切除术。本病例强调,脊髓损伤患者可以提高警惕,更频繁地进行影像学监测,并考虑辅助影像学方式来监测附睾-睾丸炎的进展,并促进并发症的早期诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Rare Case of Testicular Infarction Secondary to Epididymo-Orchitis in a Patient with Spinal Cord Injury
There has been an increasing number of reported cases of testicular infarction secondary to epididymo-orchitis in recent years. However, the occurrence of this in those with spinal cord injuries has rarely been reported. This population of patients have a higher prevalence of epididymo-orchitis and due to altered or absent nociceptive perception, evaluation of their progression to testicular infarction can be difficult, leading to unnecessary delay for surgical management. We present a case of epididymo-orchitis in a patient with C5/6 complete spinal cord injury whose clinical course was complicated by testicular infarction requiring left orchidectomy. This case highlights those with spinal cord injuries may benefit from increased vigilance, more frequent imaging surveillance and consideration of adjunct imaging modalities to monitor the progression of epididymo-orchitis and facilitate earlier diagnosis of complications.
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