阴道内宫内睾丸扭转1例

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY
Murad Habib, M. Amjad, Mansoor Ahmed
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引用次数: 0

摘要

摘要目的宫内睾丸扭转极为罕见,其确切原因在很大程度上仍不清楚。它是宫内缺血性损伤的结果,表现为阴道外或阴道内睾丸扭转。紧急手术探查和固定对侧睾丸是治疗此病的关键。病例介绍我们在这里提出的情况下,两天大的新生儿与出生的右阴囊肿胀住在儿童医院。病人是在一家私立医院通过剖宫产足月出生的。到达急诊科时,他水分充足,在室温下呈粉红色,灌注良好。经检查,右侧睾丸肿大,紧张,无压痛,可见上覆皮肤磨破,呈红色。横贯照明右睾丸为阴性,对侧睾丸为阳性。两个疝口正常。腹股沟阴囊区多普勒超声示右侧睾丸肿大(15.6*9.4 mm),彩色多普勒示不均匀低回声纹理,睾丸网突出,无血流。进行了紧急阴囊探查。术中有明显坏死的右睾丸伴阴道内扭转和少量鞘膜积液。行右侧睾丸切除术和对侧睾丸切除术。结论宫内睾丸扭转应作为外科急诊处理。我们提倡尽早发现宫内睾丸扭转,同时进行手术探查和对侧睾丸切除术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A case of intra-vaginal intrauterine testicular torsion
Abstract Objectives Intrauterine testicular torsion is extremely rare and the exact cause remains largely unknown. It is the result of an ischemic insult intrauterine, which presents as either extra-vaginal or intravaginal testicular torsion. Urgent surgical exploration and fixating the contralateral testis is key in the management of this condition. Case presentation We present here the case of a two-day old neonate with in-born right scrotal swelling admitted at Children’s hospital. The patient was born at term via cesarean section at a private hospital. Upon arrival in the emergency department, he was well hydrated, pink at room temperature with good perfusion. Upon examination, the right testis was found to be enlarged, tense, non-tender visibly reddish with overlying skin excoriation. Trans-illumination was negative in right but positive in the contralateral testis. Both hernial orifices were normal. Doppler ultrasound of the inguinoscrotal area found the right testis to be enlarged (15.6*9.4 mm) and showed heterogeneous hypoechoic texture with prominent rete testis and no flow on color doppler analysis. An urgent scrotal exploration was undertaken. Intra-operatively there was frank necrotic right testis with intravaginal torsion of the testis and minimal hydrocele. A right orchidectomy and contralateral orchidopexy were performed. Conclusions Intrauterine testicular torsion should be treated as a surgical emergency. We advocate early recognition of intrauterine testicular torsion, alongside surgical exploration and simultaneous contralateral orchidopexy.
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来源期刊
Case Reports in Perinatal Medicine
Case Reports in Perinatal Medicine OBSTETRICS & GYNECOLOGY-
自引率
0.00%
发文量
37
期刊介绍: Case Reports in Perinatal Medicine is a double-blind peer-reviewed journal. The objective of the new journal is very similar to that of JPM. In addition to evidence-based studies, practitioners in clinical practice esteem especially exemplary reports of cases that reveal specific manifestations of diseases, its progress or its treatment. We consider case reports and series to be brief reports describing an isolated clinical case or a small number of cases. They may describe new or uncommon diagnoses, unusual outcomes or prognosis, new or infrequently used therapies and side effects of therapy not usually discovered in clinical trials. They represent the basic concept of experiences for studies on representative groups for further evidence-based research. The potential roles of case reports and case series are: Recognition and description of new diseases Detection of drug side effects (adverse or beneficial) Study of mechanisms of disease Medical education and audit Recognition of rare manifestations of disease.
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