超越胀:丸中的一个错过的异物体
Jan Stępka1,2, Tomasz Milecki2, Andrzej Bałoniak3
1Department of Urology, Ministry of Internal Affairs Hospital, Poznań, POL.
Cureus
|October 9, 2025
概括
肠内异物很少见. 肠内异物很少见. 重复的高分辨率超声波有助于诊断丸中保留的金属电线,尽管初始成像没有确定性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 诊断成像 诊断成像 诊断成像
- 创伤外科 手术 创伤外科
背景情况:
- 内异物是不常见的事件.
- 部创伤可能导致丸组织内保留的异物.
- 由于最初的不确的成像和症状解决,延迟诊断是可能的.
研究的目的:
- 介绍一个年轻男性的病例,该病例中留下了肠道外体.
- 突出与此类病例相关的诊断挑战.
- 强调先进的成像技术在诊断中的实用性.
主要方法:
- 一个年轻男性的病例报告,他的阴囊受伤.
- 最初的超声波成像和经验性抗生素治疗.
- 后续的高分辨率超声波显示了一个超声波结构.
- 外科探索和外体的切除. 外体的切除. 外体的切除.
主要成果:
- 一根金属线成功地被识别并从左丸中移除.
- 最初的超声波没有确定性,但伤病后12周的第三次超声波是诊断性的.
- 在手术转诊时,该患者无症状.
- 在手术切除过程中没有出现并发症.
结论:
- 诊断保留的内肠外体可能具有挑战性,尤其是在非诊断性初始成像时.
- 重复的高分辨率超声波对于在暗示性临床场景中识别异物至关重要.
- 迅速的手术干预确保了良好的结果,并防止了并发症.
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