关键词: orchidectomy surgical exploration testicular necrosis testicular torsion urological emergency

来  源:   DOI:10.7759/cureus.42754   PDF(Pubmed)

Abstract:
Testicular torsion is a condition characterized by the twisting of the testis and spermatic cord within the scrotum, resulting in the obstruction of venous return and subsequent swelling. If left untreated, the torsion can progress to block the arterial blood supply, leading to ischemia. Prolonged ischemia can result in testicular necrosis and decreased fertility. Recognizing the urgency of this condition, timely diagnosis and management are crucial. In this clinical case, a 16-year-old male presented with left-sided scrotal pain following a minor trauma. Despite prompt medical attention, the delay in seeking treatment resulted in irreversible testicular necrosis. The case emphasizes the urgency of diagnosing and managing testicular torsion to prevent serious consequences such as testicular loss and reduced fertility. It serves as a poignant reminder for healthcare professionals to remain vigilant in recognizing this urological emergency and advocating for timely intervention to optimize patient outcomes.
摘要:
睾丸扭转是一种以阴囊内睾丸和精索扭转为特征的疾病,导致静脉回流阻塞和随后的肿胀。如果不及时治疗,扭转可以进展到阻塞动脉血液供应,导致缺血。长期缺血可导致睾丸坏死和生育能力下降。认识到这种情况的紧迫性,及时的诊断和管理至关重要。在这个临床病例中,一名16岁男性在轻微创伤后出现左侧阴囊疼痛。尽管及时就医,寻求治疗的延迟导致不可逆的睾丸坏死。该病例强调了诊断和治疗睾丸扭转的紧迫性,以防止睾丸丢失和生育能力下降等严重后果。它是一个尖锐的提醒,让医疗保健专业人员保持警惕,认识到这种泌尿外科紧急情况,并倡导及时干预以优化患者预后。
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