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Acute Appendicitis Manifested as Scrotal Tenderness: A Case Report

急性闌尾炎以陰囊疼痛來表現一病例報告

摘要


一位52歲男性病人主訴右額腰痛和右側陰囊疼痛有兩天,被診斷為副睪炎而給予抗生素治療。他的腰痛有明顯改善,但兩天後發生腹脹和痲痹性腸阻塞現象。在腹膜炎的診斷下,他接受剖腹探查,同時切除穿孔的闌尾。急性闌尾炎可以有一些泌尿道的症狀,到目前為止很少有急性闌尾炎以陰囊疼痛來表現。本篇報告這種罕見的臨床症狀和討論可能的原因,在陰囊疼痛的病人,急性闌尾炎的可能性仍要考慮在內。

並列摘要


A 52-year-old male patient had complaints of right flank pain and scrotal tenderness for two days and was diagnosed with epididymitis. Antibiotics were given for his epididymitis. The flank pain and scrotal tenderness improved, but abdominal distension and paralytic ileus developed over the next two days. Under the impression of peritonitis, appendectomy was done for perforated appendicitis during laparotomy. Urinary symptoms may occur in patients with acute appendicitis. To our knowledge, scrotal tenderness is rarely the initial presentation of acute appendicitis. This rare clinical presentation and its possible mechanisms are discussed. The possibility of an acute appendicitis should also be considered in patients with right scrotal tenderness.

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