Tek testise sahip genç hastada akut testiküler ven trombozu: nadir bir ürolojik acil

Abstract

Testiküler ven trombozuna bağlı olarak gelişen akut skrotal ağrı, nadir olarak gözlenmektedir. Tromboz, kan damarı içerisinde pıhtı gelişmesi ve bunun sonucunda, periferal organ kanlanmasının kesintiye uğramasıdır. Rutin üroloji pratiğinde, genel olarak tromboembolik hastalıkların görülme sıklığı <%1 olup, daha çok postoperatif dönemdeki hastalarda karşılaşılmaktadır. Bu nedenle, acil servise akut skrotum nedeniyle başvuran bir hastanın ayırıcı tanısında, nadir görülmesine rağmen, testiküler ven trombozu da hatırlanmalıdır. Genel olarak, tedavi yönetiminde, konservatif tedavi ilk seçenek olmakla beraber, bazı olgularda cerrahi girişim gerekebilmektedir. Konuyla ilgili mevcut veriler, olgu sunumlarından elde edilen bilgilere dayandığından, mevcut tedavi yöntemlerinin incelenerek, standart bir tedavi yaklaşımı geliştirilmesi gerekmektedir. Bu olgu sunumunda, ürolojinin acil durumlarından olan ve nadir rastlanan, testiküler ven trombozunu, literatür bilgileri eşliğinde sunmayı amaçlamaktayız.

Keywords

• akut skrotum
• testiküler ağrı
• testiküler ven trombozu
• renkli doppler ultrason

Acute testicular vein thrombosis in a young patient with a solitary testicle: a rare urological emergency

Abstract

Acute scrotal pain due to testicular vein thrombosis is a rare condition. Thrombosis is defined as clot formation within the blood vessels and as a result, it interrupts the blood supply of the peripheral organs. In routine urology practice, the incidence of thromboembolic diseases is <1%, and it is mostly encountered in patients at the postoperative period. Nevertheless, testicular vein thrombosis should also be remembered in the differential diagnosis of patients admitted to the emergency department due to acute scrotum. In general, conservative treatment is the first choice in treatment management, but surgical intervention may also be required in some cases. Since the available data on this subject are based on the information obtained from case reports, a standard treatment approach should be developed by examining the current treatment methods. We aim to present the case report of testicular vein thrombosis in the light of the literature, which is one of the rarely seen emergencies of urology.

Keywords

• Acute Pain;
• Color Doppler Ultrasonography
• Venous Thrombosis
• Testicular Diseases

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