Rare cause of acute scrotal swelling and pain in adult- a case report on spontaneous pampiniform plexus thrombosis and literature review.

成人急性阴囊肿胀和疼痛的罕见原因 — — 自发性斑状神经丛血栓形成一例报告并文献复习。

• 发表时间: Jan 2020
• 来源期刊: Urol Case Rep
• DOI: 10.1016/j.eucr.2019.101000
• PMID: 31832332
• 文章类型: Case Reports
• 作者列表: Lay Keat WO,Omar S,Pei Kwong H

关键词: Anticoagulant; Pampiniform plexus thrombosis; Scrotal pain; Ultrasound Doppler

Abstract

Acute scrotal pain is a common urological emergency where clinical judgement plays pivotal role in making the diagnosis. Scrotal pain secondary to spontaneous pampiniform plexus thrombosis is rare, and we are the first who report in the Asian region. A 50-year-old gentleman presented with left-sided scrotal pain & swelling. The diagnosis of pampiniform plexus thrombosis was confirmed by the ultrasound Doppler. He was treated with anticoagulant and good clinical result was obtained. Uncomplicated thrombosis could be managed non-surgically with good clinical outcome and radiological resolution. Ultrasound doppler remains first-line investigation to establish diagnosis, monitor the progression and treatment outcome.

摘要

急性阴囊疼痛是常见的泌尿外科急症，临床判断在诊断中起关键作用。继发于自发性Pampiniform神经丛血栓形成的阴囊疼痛很少见，我们是亚洲地区的第一个世卫组织报告。一位50岁的绅士出现左侧阴囊疼痛和肿胀。超声多普勒检查证实了血管丛血栓形成的诊断。经抗凝治疗，取得了良好的临床效果。无并发症的血栓形成可以非手术治疗，具有良好的临床结果和放射学分辨率。超声多普勒仍是建立诊断的一线调查，监测进展和治疗结果。