睾丸梗塞的罕见病因：腹腔镜腹股沟疝修补术导致睾丸梗塞的病例报告和文献综述。

IF 1.2 4区医学 Q3 EMERGENCY MEDICINE Journal of Emergency Medicine Pub Date : 2024-05-25 DOI:10.1016/j.jemermed.2024.05.006

Jared Wenn DO, Brian Patrick Murray DO, Ross W. Kynast MD, Jessica Zhen MD

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引用次数: 0

摘要

背景：睾丸缺血需要及时诊断和明确治疗，以避免睾丸切除术等严重后果。睾丸缺血几乎总是由睾丸扭转引起，但也有其他需要注意的原因：一名 32 岁的男子在腹腔镜机器人辅助腹股沟疝修补术（使用腹膜前网片）后出现睾丸缺血。缺血发展为睾丸完全梗死，随后的手术探查未发现扭转迹象。他最终需要进行睾丸切除术。急诊医生为什么要注意这个问题？腹股沟疝修补术后不久出现睾丸疼痛的患者必须考虑睾丸缺血或梗死，尽管这种情况极为罕见。为挽救睾丸，可能需要进行紧急手术评估并松解疝网。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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An Uncommon Cause of Testicular Infarct: A Case Report and Review of the Literature of Testicular Infarcts From Laparoscopic Inguinal Hernia Repair

Background

Testicular ischemia requires timely diagnosis and definitive management to avoid serious consequences such as orchiectomy. It is almost always caused by testicular torsion; however, there are other causes to be aware of.

Case Report

A 32-year-old man developed testicular ischemia following a laparoscopic robotic-assisted inguinal hernia repair with preperitoneal mesh. The ischemia progressed to a fully infarcted testicle with no evidence of torsion on subsequent surgical exploration. He ultimately did require an orchiectomy.

Why should an Emergency Physician be aware of this?

While extremely rare, testicular ischemia or infarct must be considered in patients presenting with testicular pain shortly after inguinal hernia repair. Emergent surgical evaluation and loosening of the hernia mesh may be required to salvage the testicle.

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来源期刊

Journal of Emergency Medicine 医学-急救医学

CiteScore

2.40

自引率

6.70%

发文量

339

审稿时长

2-4 weeks

期刊介绍： The Journal of Emergency Medicine is an international, peer-reviewed publication featuring original contributions of interest to both the academic and practicing emergency physician. JEM, published monthly, contains research papers and clinical studies as well as articles focusing on the training of emergency physicians and on the practice of emergency medicine. The Journal features the following sections: • Original Contributions • Clinical Communications: Pediatric, Adult, OB/GYN • Selected Topics: Toxicology, Prehospital Care, The Difficult Airway, Aeromedical Emergencies, Disaster Medicine, Cardiology Commentary, Emergency Radiology, Critical Care, Sports Medicine, Wound Care • Techniques and Procedures • Technical Tips • Clinical Laboratory in Emergency Medicine • Pharmacology in Emergency Medicine • Case Presentations of the Harvard Emergency Medicine Residency • Visual Diagnosis in Emergency Medicine • Medical Classics • Emergency Forum • Editorial(s) • Letters to the Editor • Education • Administration of Emergency Medicine • International Emergency Medicine • Computers in Emergency Medicine • Violence: Recognition, Management, and Prevention • Ethics • Humanities and Medicine • American Academy of Emergency Medicine • AAEM Medical Student Forum • Book and Other Media Reviews • Calendar of Events • Abstracts • Trauma Reports • Ultrasound in Emergency Medicine