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급성 음낭 통증의 드문 원인: 고환정맥의 자발적 혈전증

A Rare Cause of Acute Scrotal Pain: Spontaneous Thrombosis of Testicular Vein

  • 박세훈 (대구파티마병원 영상의학과) ;
  • 조재호 (영남대학교 의과대학 영상의학교실)
  • Park, Se Hoon (Department of Radiology, Daegu Fatima Hospital) ;
  • Cho, Jae Ho (Department of Radiology, College of Medicine, Yeungnam University)
  • 투고 : 2018.05.02
  • 심사 : 2018.06.27
  • 발행 : 2018.11.01

초록

급성 음낭 통증은 흔히 접하는 비뇨기계 임상증상이며 다양한 원인들이 있다. 그중에 고환정맥 혈전증은 드물지만 급성 음낭 통증을 유발하는 원인 중 하나이다. 혈전증은 우리 몸 어느 곳에서나 발생할 수 있는 흔한 질환이지만 고환정맥에 발생한 혈전증은 아직까지 국내에 보고된 바가 없다. 저자들은 급성 음낭 통증으로 내원한 남자 26세 환자에서 고환정맥의 혈전증을 경험하였기에 이를 보고하는 바이다.

Acute scrotal pain is a common clinical symptom of urinary system and there are various causes. Among them, thrombosis of testicular vein is rare, but one of the causes of acute scrotal pain. Thrombosis is a common disease that can occur anywhere in our body. But thrombosis of testicular vein has not been reported in Korea. We report a case of thrombosis of testicular vein in a 26-years-old man with acute scrotal pain.

키워드

참고문헌

  1. Hashimoto L, Vibeto B. Spontaneous thrombosis of the pampiniform plexus. Scand J Urol Nephrol 2006;40:252-254 https://doi.org/10.1080/00365590600589823
  2. Mallat F, Hmida W, Ahmed KB, Mestiri S, Mosbah F. Spontaneous spermatic vein thrombosis as a circumstance of discovery of nutcracker syndrome: an exceptional entity. Int J Case Rep Imag 2014;5:519-523 https://doi.org/10.5348/ijcri-201492-CR-10403
  3. Roach R, Messing E, Starling J. Spontaneous thrombosis of left spermatic vein: report of 2 cases. J Urol 1985;134:369-370 https://doi.org/10.1016/S0022-5347(17)47176-X
  4. Tichelaar YI, Kluin-Nelemans HJ, Meijer K. Infections and inflammatory diseases as risk factors for venous thrombosis: a systematic review. Thromb Haemost 2012;107:827-837 https://doi.org/10.1160/TH11-09-0611
  5. Gleason TP, Balsara Z, Goff WB. Sonographic appearance of left spermatic vein thrombosis simulating incarcerated inguinal hernia. J Urol 1993;150:1513-1514 https://doi.org/10.1016/S0022-5347(17)35831-7
  6. El Hennawy HM, Abuzour ME, Bedair ESM. Surgical management of spontaneously thrombosed extratesticular varicocele presented with irreducible inguinal swelling: a case report. Eur J Surg Sci 2010;1:99-101
  7. Isenberg JS, Ozuner G, Worth MH, Ferzli G. Effort-induced spontaneous thrombosis of the left spermatic vein presenting clinically as a left inguinal hernia. J Urol 1990;144:138 https://doi.org/10.1016/S0022-5347(17)39395-3
  8. Tsili AC, Bertolotto M, Turgut AT, Dogra V, Freeman S, Rocher L, et al. MRI of the scrotum: recommendations of the ESUR scrotal and penile imaging working group. Eur Radiol 2018;28:31-43 https://doi.org/10.1007/s00330-017-4944-3
  9. Leach JL, Fortuna RB, Jones BV, Gaskill-Shipley MF. Imaging of cerebral venous thrombosis: current techniques, spectrum of findings, and diagnostic pitfalls. Radiographics 2006;26 Suppl 1:S19-S41; discussion S42-S43 https://doi.org/10.1148/rg.26si055174