患者经常到急诊科就诊,主诉阴囊或睾丸疼痛。一般来说,有一种算法方法来进行检查,其中包括扭转评估,感染,或血管原因,有时也会考虑肌肉骨骼疼痛的原因。脊髓病理学,然而,很少被研究为睾丸疼痛的原因。这里,我们介绍了一例45岁的终末期肾病合并高血压患者,并出现急性睾丸疼痛.经过全面的检查,然而,最初没有发现疼痛的来源。患者症状的进展导致自发性脊髓硬膜下血肿的诊断。这种罕见诊断的非典型表现也很有趣,因为患者同时诊断为无症状的COVID-19感染。虽然我们的病例代表了临床特征的非典型组合,这也说明了当患者出现严重疼痛且症状原因不明时,继续保持警惕和持续检查的重要性.
Patients frequently present to the emergency department with complaints of scrotal or testicular pain. Generally, there is an algorithmic approach to workup, which includes assessment for torsion, infection, or vascular causes, and musculoskeletal causes of pain are also sometimes considered. Spinal cord pathology, however, is less often explored as a cause of testicular pain. Here, we present a
case of a 45-year-old man with end-stage renal disease and hypertension who presented with acute testicular pain. After a comprehensive workup, however, the source of pain was not initially found. Progression of the patient\'s symptoms led to the diagnosis of spontaneous spinal subdural hematoma. This atypical presentation of a rare diagnosis is also interesting due to the patient\'s concomitant diagnosis of an otherwise asymptomatic COVID-19 infection. While our
case represents an atypical combination of clinical features, it also illustrates the importance of continued vigilance and ongoing workup when patients present with severe pain and unclear causes of their symptoms.