PDF(Pubmed)
Abstract：
UNASSIGNED: Testicular loss following assault is a very rare occurrence and uncommon in the low income countries. Testicular amputation is usually associated with blast injuries, sexual violence and self-mutilation in psychiatric cases. Management involves a multidisciplinary approach and is focused on resuscitation, aggressive debridement, testosterone supplementation, and reconstructive surgery.
METHODS: We present a 31 year old male referred to the emergency department of a Regional Referral Hospital in western Uganda with a history of trauma to his scrotum. The patient had been well till 16 h prior to presentation when he was attacked by unknown assailants who broke into his house in the night. The patient was reportedly beaten before his scrotum was pulled and amputated with eventual profuse bleeding. Evacuation of approximately 150 cc hematoma was done plus debridement of necrotic testes and achieving hemostasis.
CONCLUSIONS: To the best of our knowledge, this was the first reported case of bilateral traumatic testicular amputation as a result of assault. Revascularization with micro-vascular techniques can be done if the patient presents early, but due to late presentation, the patient was only managed with aggressive debridement, reconstruction and testosterone supplementation.
METHODS: We present a 31 year old male referred to the emergency department of a Regional Referral Hospital in western Uganda with a history of trauma to his scrotum. The patient had been well till 16 h prior to presentation when he was attacked by unknown assailants who broke into his house in the night. The patient was reportedly beaten before his scrotum was pulled and amputated with eventual profuse bleeding. Evacuation of approximately 150 cc hematoma was done plus debridement of necrotic testes and achieving hemostasis.
CONCLUSIONS: To the best of our knowledge, this was the first reported case of bilateral traumatic testicular amputation as a result of assault. Revascularization with micro-vascular techniques can be done if the patient presents early, but due to late presentation, the patient was only managed with aggressive debridement, reconstruction and testosterone supplementation.
摘要：
■攻击后的睾丸损失是非常罕见的，在低收入国家也不常见。睾丸截肢通常与爆炸伤有关，精神病中的性暴力和自残。管理涉及多学科方法，重点是复苏，侵袭性清创,补充睾酮,重建手术.
方法：我们介绍了一名31岁男性，他在乌干达西部地区转诊医院急诊科就诊，有阴囊外伤史。患者在就诊前16小时一直很好，当时他遭到不明袭击者的袭击，这些袭击者在夜间闯入了他的房子。据报道，该患者在拔出阴囊并截肢之前遭到殴打，最终大量出血。清除约150cc血肿，清除坏死睾丸并实现止血。
结论：据我们所知，这是首例报告的双侧睾丸外伤性截肢病例。如果患者早期出现，可以使用微血管技术进行血运重建，但由于演讲迟到,患者只接受了积极的清创术，重建和补充睾酮。
方法：我们介绍了一名31岁男性，他在乌干达西部地区转诊医院急诊科就诊，有阴囊外伤史。患者在就诊前16小时一直很好，当时他遭到不明袭击者的袭击，这些袭击者在夜间闯入了他的房子。据报道，该患者在拔出阴囊并截肢之前遭到殴打，最终大量出血。清除约150cc血肿，清除坏死睾丸并实现止血。
结论：据我们所知，这是首例报告的双侧睾丸外伤性截肢病例。如果患者早期出现，可以使用微血管技术进行血运重建，但由于演讲迟到,患者只接受了积极的清创术，重建和补充睾酮。
