丸缺血是次要的急性脊髓炎:一个病例报告
Zhichao Wang1, Mengzhen Qiu2, Xinghua Gao2
1Department of Urology, Jinan Central Hospital, Shandong University, Jinan, Shandong Province, China.
Medicine
|June 19, 2023
概括
急性脊髓炎很少会导致丸缺血,这种情况很难与丸扭曲区分开来. 在这些罕见的情况下,迅速的手术干预对于保持丸功能至关重要.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 手术管理的手术管理.
- 医疗成像医学成像
背景情况:
- 急性脊髓炎可能导致罕见但严重的并发症,如丸梗塞和缺血.
- 从临床和放射学上来说,区分这些并发症与丸扭曲是具有挑战性的.
- 只有少数病例被记录在案,这些病例是丸缺血引起的.
研究的目的:
- 报告一个小儿病人的丸缺血病例二次性急性脊髓炎.
- 突出诊断挑战和成功管理这种罕见的疾病.
主要方法:
- 一名12岁的男孩在创伤后出现了急性丸疼痛,胀和恶心.
- 阴茎颜色多普勒超声波显示出膜炎和丸扭曲.
- 手术检查显示,丸缺血是急性脊髓炎的次要原因,需要立即介入.
主要成果:
- 患者经历了精髓膜解剖,解压和丸固定.
- 干预后,丸血流和颜色逐渐恢复.
- 患者在术后经历了阴囊胀和疼痛显著改善.
结论:
- 丸缺血是一种罕见但严重的潜在后果,急性脊髓炎.
- 儿科患者的突发阴囊疼痛需要考虑膜炎诱导的缺血症,即使有扭曲性成像发现.
- 及时的手术干预可以导致丸缺血的良好结果,这是二次性疹炎.
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