PDF(Pubmed)
Abstract：
Vaso-occlusive phenomena in sickle cell disease lead to ischemia and possible infarction of the affected organ. We report a case of a 20-year-old Saudi male known to have homozygous sickle cell hemoglobinopathy who was admitted to our institution with abdominal pain. One day post admission, the patient developed left testicular pain. Ultrasound showed decreased echogenicity, and Doppler examination showed absent blood flow in the left testicle. Left radical orchidectomy was done, and histopathological assessment revealed ischemic necrosis with sickled red blood cells (RBCs). A few studies have been reported worldwide suggesting that a vaso-occlusive event is the mainstay mechanism in such cases. This is the first case reported in the Eastern Province of Saudi Arabia.
摘要：
镰状细胞病中的血管闭塞现象导致缺血和受影响器官的可能梗塞。我们报告了一例20岁的沙特男性，他患有纯合子镰状细胞血红蛋白病，因腹痛入院。入学后的一天，患者出现左睾丸疼痛。超声显示回声减弱,多普勒检查显示左睾丸无血流。做了左睾丸根治性切除术,组织病理学评估显示缺血性坏死伴有镰状红细胞（RBC）。世界范围内的一些研究表明，在这种情况下，血管闭塞事件是主要机制。这是沙特阿拉伯东部省报告的第一例病例。
