Painful and Swollen Scrotum: A Rare Complication of Acute Pancreatitis

疼痛腫脹的陰囊：一個罕見的急性胰臟炎併發症

林裴渝(Pei-Yu Lin) ； 葉朗龍(Ronald-Long Yip) ； 廖培宏(Pei-Hung Liao) ； 魏智偉(Chih-Wei Wei) ； 吳肇鑫(Chao-Hsin Wu) ； 黃士韋(Shih-Wei Huang)

《童綜合醫學雜誌》 15卷2期 (2021/12) Pp. 85-88

https://doi.org/10.3966/207135922021121502006

摘要

Acute scrotal swelling may be caused by the extension of a pancreatic collection or abscess through the inguinal canal into the groin area and is a rare complication of acute pancreatitis. Although this complication has a low incidence, we must consider this condition as it may be misdiagnosed as other more common pathologies of a swollen scrotum such as testicular hydrocele, orchiepididymitis, testicular torsion, inguinal hernia, and testicular tumor and may result in inappropriate or delayed treatment. Herein, we describe a case of right scrotal swelling caused by severe acute pancreatitis in a 52-year-old man. Computed tomography was helpful in the diagnosis. Typical imaging demonstrated peripancreatic fluid through the inguinal canal to the right scrotum and confirmed the diagnosis by aspirated scrotal fluid with elevated lipase levels.

關鍵字

pancreatitis ； complication ； scrotal swelling

並列摘要

急性陰囊腫脹可能是因為胰液或者胰臟膿腫經由腹股溝延伸至陰囊，這是急性胰臟炎的一個少見的併發症。儘管這種併發症發生的機率很低，但它確實引起我們的注意，因為它可能被誤診為其他更常見的疾病，例如睾丸鞘膜積液、睾丸附睾丸炎、睪丸扭轉、腹股溝疝氣或者睪丸腫瘤等等，可能會因此造成不必要的手術或者延誤治療。因此我們提出一個案例，一位52歲的男性因位胰臟炎併發症而產生的急性陰囊腫脹。電腦斷層檢查提供了一個很有效的診斷方式，典型的電腦斷層看到胰臟周圍有液體存在，這些異體經由腹股溝流到右側陰囊，並且最後經由抽吸陰囊內液體檢測脂肪酶的方式確診。

並列關鍵字

胰臟炎 ； 併發症 ； 陰囊腫脹