关键词: Lichtenstein procedure Penile Mondor’s Disease hernia sclerosis thrombophlebitis

来  源:   DOI:10.5339/qmj.2024.25   PDF(Pubmed)

Abstract:
UNASSIGNED: Penile Mondor\'s disease (PMD) is a rare syndrome characterized by sclerosis after superficial thrombophlebitis of the superficial penile veins. The most usual appearance of PMD is a tender, palpable, painful, and sometimes visible cord on the dorsal surface of the penis. Its pathogenesis is still unclear, and a standardized treatment has not been established.
UNASSIGNED: A 54-year-old male patient presented with a left-sided indirect reducible inguinal hernia. The patient underwent Lichtenstein\'s procedure for inguinal hernia repair. On the tenth postoperative day, he returned with PMD confirmed by Doppler ultrasonography examination. Treatment with 4000 UI low molecular weight heparin (LMWH) daily for three weeks resolved the symptoms, but mild venous ectasia just to the proximal part of the penis remained.
UNASSIGNED: The exact cause of PMD is not well understood, but various studies have identified certain factors associated with an increased risk of the condition. Out of various potential factors that could trigger PMD, the repair of an inguinal hernia has been reported only once. Treatment may involve pain management, anti-inflammatory medications, anticoagulants, and, in some cases, surgery.
UNASSIGNED: PMD after open hernia repair surgery is a very rare benign condition. Correct diagnosis and prompt treatment allowed symptom resolution. Residual venous ectasia has no clinical significance other than a cosmetic appearance.
摘要:
阴茎Mondor病(PMD)是一种罕见的综合征,其特征是阴茎浅静脉的浅表血栓性静脉炎后硬化。PMD最常见的外观是招标,明显的,痛苦,有时在阴茎背面可见的绳索。其发病机制尚不清楚,标准化治疗尚未建立。
一名54岁男性患者出现左侧间接复位腹股沟疝。患者接受Lichtenstein腹股沟疝修补术。术后第十天,他返回时,经多普勒超声检查证实为PMD。每天用4000UI低分子量肝素(LMWH)治疗三周,缓解了症状,但轻微的静脉扩张只是阴茎的近端部分仍然存在。
PMD的确切原因尚不清楚,但是各种研究已经确定了与这种疾病风险增加相关的某些因素。在各种可能引发PMD的潜在因素中,腹股沟疝的修复仅有一次报道。治疗可能涉及疼痛管理,抗炎药,抗凝剂,and,在某些情况下,手术。
开放式疝修补术后的PMD是一种非常罕见的良性疾病。正确的诊断和及时的治疗可以缓解症状。残余静脉扩张除了外观外观外没有临床意义。
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