关键词: spermatic vein testicular pain thrombosis varicocele vas deferens

来  源:   DOI:10.5173/ceju.2023.13   PDF(Pubmed)

Abstract:
UNASSIGNED: The authors in this paper discuss a rare disease entity that can cause testicular pain and mimic varicocele.
UNASSIGNED: Citing data from a review of the world literature, spermatic cord thrombosis is most often misdiagnosed as an incarcerated inguinal hernia. Patients usually complain of pain and swelling of the testicle, pain in the inguinal region, and sometimes a palpable mass in the inguinal region.
UNASSIGNED: Ultrasonography with colour Doppler usually establishes the correct diagnosis. Currently, there are no official recommendations for the treatment of this disease.There are reports of conservative treatment of spermatic cord thrombosis in the world literature. However, it seems that the gold standard of management remains surgical exploration, which allows us to unequivocally establish the correct diagnosis. In cases of co-morbid thrombosis with spermatic cord varicocelectomy is recommended.
UNASSIGNED: Due to the rarity of this disease, the topic of this article was undertaken. The paper reviews the world literature relating to the diagnosis and treatment of this disease entity. Our own algorithm for the management of spermatic cord thrombosis is proposed.
摘要:
本文的作者讨论了一种罕见的疾病实体,可引起睾丸疼痛并模拟精索静脉曲张。
引用世界文献综述的数据,精索血栓形成最常误诊为腹股沟嵌顿疝。患者通常抱怨睾丸疼痛和肿胀,腹股沟区疼痛,有时腹股沟区有明显的肿块。
彩色多普勒超声检查通常可以确定正确的诊断。目前,没有官方建议治疗这种疾病。世界文献中有关于精索血栓形成的保守治疗的报道。然而,似乎管理的黄金标准仍然是外科探索,这使我们能够明确地确定正确的诊断。在并发血栓形成的情况下,建议使用精索精索静脉曲张切除术。
由于这种疾病的罕见性,本文的主题是进行。本文回顾了与该疾病实体的诊断和治疗有关的世界文献。提出了我们自己的精索血栓形成管理算法。
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