PDF(Sci-hub)
Abstract：
A 70-year-old man presented to our vein clinic with intermittent and recurrent left testicular and groin pain, clinically resembling epididymo-orchitis. He had never had any genitourinary problems until contracting a severe flu-like illness in January 2020, strongly suspected to have been Covid-19. He had failed to respond on four separate occasions to antibiotics prescribed by his GP and had only responded on these occasions to aspirin. Duplex ultrasonography at our clinic showed thrombosis of the left testicular vein with venous collateral formation. The testicle itself showed mild oedema, but a reduced arterial flow supporting the pain to be secondary to thrombosis. Covid-19 is known to be associated with venous thromboembolic disease, but usually in patients sick enough to be hospitalised and particularly in those requiring intensive care. This man appears to have had a left testicular vein thrombosis secondary to relatively mild Covid-19 infection, as he did not require hospitalisation.
摘要：
一名70岁的男子出现在我们的静脉诊所，患有间歇性和复发性的左睾丸和腹股沟疼痛，临床上类似附睾-睾丸炎。在2020年1月感染了严重的流感样疾病之前，他从未有过任何泌尿生殖系统问题，强烈怀疑他是新冠肺炎。他在四个不同的场合对他的全科医生开的抗生素没有反应，只有在这些场合对阿司匹林有反应。我们诊所的双重超声检查显示左睾丸静脉血栓形成并伴有静脉侧支形成。睾丸本身表现出轻度水肿,但动脉流量减少支持血栓形成继发的疼痛。Covid-19已知与静脉血栓栓塞疾病相关，但通常在病人生病到足以住院，特别是在那些需要重症监护。这名男子似乎患有继发于相对轻度新冠肺炎感染的左睾丸静脉血栓形成，因为他不需要住院治疗。
