疼痛腫脹的陰囊：一個罕見的急性胰臟炎併發症

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 ot...

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Published in童綜合醫學雜誌 Vol. 15; no. 2; pp. 085 - 088
Main Authors 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)
Format Journal Article
LanguageChinese
Published 台灣 童綜合醫學雜誌社 01.12.2021
Subjects
complication
pancreatitis
scrotal swelling
併發症
胰臟炎
陰囊腫脹
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Summary: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.
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
ISSN:2071-3592