关键词: acute scrotum doppler sonography scrotal pain segmental testicular infarction testicular torsion acute scrotum doppler sonography scrotal pain segmental testicular infarction testicular torsion

来  源:   DOI:10.7759/cureus.26063   PDF(Pubmed)

Abstract:
Segmental testicular infarction is an uncommon condition; it is idiopathic in most cases and the pathophysiology behind it is unclear. Patients usually present with a sudden onset of testicular pain, which mimics conditions such as testicular torsion and epididymo-orchitis in clinical presentation and can sometimes be mistaken for a testicular tumor on ultrasound, which can mislead some urologists to opt for an unnecessary surgical treatment. However, with proper assessment and reassuring tests, surgical treatment can be avoided, and successful conservative management can be achieved.
摘要:
睾丸节段性梗死是一种罕见的疾病;在大多数情况下是特发性的,其背后的病理生理学尚不清楚。患者通常表现为突然发作的睾丸疼痛,在临床表现中模拟睾丸扭转和附睾-睾丸炎等病症,有时在超声检查中可能被误认为是睾丸肿瘤,这可能会误导一些泌尿科医生选择不必要的手术治疗。然而,通过适当的评估和令人放心的测试,可以避免手术治疗,可以实现成功的保守管理。
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