PDF(Pubmed)
Abstract：
Acute scrotal pain is a very common presentation to the emergency room. The most important pathology we must exclude is testicular infarction or testicular ischemia. Here we describe two rare cases of acute scrotum where incarcerated inguinal hernias containing omentum resulted in testicular ischemia/infarction. In Case 1, we describe a rare case in an adult where a large, incarcerated hernia containing omentum along with direct trauma to the testicle resulted in testicular infarction. In Case 2, we describe a 2-year-old boy who presented with left scrotal tenderness due to a left inguinal hernia containing omentum resulting in compromised testicular blood flow. Both patients underwent scrotal exploration. This article also explores the possible pathophysiology of how omentum containing hernias may result in an increased risk of testicular ischemia.
摘要：
急性阴囊疼痛是急诊室非常常见的表现。我们必须排除的最重要的病理是睾丸梗塞或睾丸缺血。在这里，我们描述了两例罕见的急性阴囊病例，其中包含大网膜的嵌顿腹股沟疝导致睾丸缺血/梗塞。在案例1中，我们描述了一个罕见的成年人案例，包含网膜的嵌顿疝以及对睾丸的直接创伤导致睾丸梗塞。在案例2中，我们描述了一个2岁男孩，由于含有大网膜的左腹股沟疝导致睾丸血流受损，因此出现了左阴囊压痛。两名患者均接受阴囊探查。本文还探讨了包含疝的大网膜可能导致睾丸缺血风险增加的可能病理生理学。
