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頁籤選單縮合
題名 | Neonatal Idiopathic Scrotal Hemorrhage: Report of One Case=新生兒不明原因的陰囊出血:一病例報告 |
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作者 | 吳淑娟; 周桔源; | 書刊名 | Clinical Neonatology |
卷期 | 12:2 民94.12 |
頁次 | 頁64-66 |
分類號 | 417.517 |
關鍵詞 | 新生兒; 陰囊; 睪丸; Testicular torsion; Scrotal hemorrhage; Testicular ultrasonography; |
語文 | 英文(English) |
英文摘要 | Acute scrotum in the newborn is an emergency situation requiring prompt evaluation and management. The differential diagnosis includes testicular torsion, scrotal hemorrhage, incarcerated inguinal hernia, tumor and intra-abdominal lesion. Some causes require immediate corrective surgery while others need only close observation. We report one premature newborn who developed scrotal swelling with bluish discoloration after birth. No blood flow was noted under testicular ultrasonography, and testicular torsion was suspected. Emergency exploratory surgery was postponed because the golden time for salvage had passed and because of the high complication rate in neonatal surgery, especially in our patient who had experienced mild respiratory distress after birth. However, the patient became more irritable and frequent apnea developed when his diaper was changed, thus surgery was performed. The surgical finding was bilateral scrotal hemorrhage, and the testes were viable. Blood clot was evacuated and bilateral orchiopexy was done. No potential risk factors for scrotal hemorrhage could be found. The development of the testes was normal during follow-up. |
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