대한정형외과학회지 (Journal of the Korean Orthopaedic Association)

  • 제55권6호
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  • Pages.540-544
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  • 2020
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  • 1226-2102(pISSN)
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  • 2005-8918(eISSN)
대한정형외과학회 (Korean Orthopaedic Association)
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골반환 손상과 동반된 고환 탈구

Testicular Dislocation Associated with Pelvic Ring Injury

  • Kim, Bum-Soo (Department of Orthopedic Surgery, Cheju Halla General Hospital) ;
  • Lee, Hohyoung (Department of Orthopedic Surgery, Cheju Halla General Hospital) ;
  • Kim, Seong-Tae (Department of Orthopedic Surgery, Cheju Halla General Hospital) ;
  • Lim, Hyeon Gyu (Department of Orthopedic Surgery, Cheju Halla General Hospital)
  • 투고 : 2019.09.05
  • 심사 : 2019.11.11
  • 발행 : 2020.12.30
⟨ 이전 논문 다음 논문 ⟩

초록

불안정성 골반환 손상은 고에너지 외상으로 발생하게 되는데 종종 비뇨기과적인 손상을 동반하기도 한다. 비뇨기과적 손상으로는 방광, 요관, 요도 손상이 흔하다. 고환 탈구는 골반환 손상에 동반될 수 있으나 매우 드문 것으로 보고되고 있다. 이 경우 고환의 탈구로 인한 통증을 환자가 호소하여도 골반환 손상에 의한 통증으로 간과되기가 쉽다. 고환 탈구가 조기에 진단되지 않아 치료가 지연되면 고환 괴사 등과 같은 합병증으로 이어질 수 있어 주의를 요한다. 본 저자들은 골반환 손상에 동반된 고환 탈구환자를 경험하여 이에 대한 증례보고를 하고자 한다

Unstable pelvis ring trauma can accompany urologic injuries such as bladder, ureter, or urethral injuries. In very rare cases, testicular dislocation can accompany a pelvic ring injury. Testicular dislocation causes pain, but can be regarded as the pain caused by pelvic ring injury. If not detected early, testicular dislocation may result in gangrenous testes. The authors report a case of pelvic ring injury with testicular dislocation.

키워드

과제정보

The authors appreciate the staff of the Department of Orthopedic Surgery, Cheju Halla General Hospital.

참고문헌

  1. Kim WY, Lee SW, Jang H, Kim DY. Delayed detection of testicular dislocation with pelvic ring fracture: a case report. J Orthop Sci. 2016;21:702-4. https://doi.org/10.1016/j.jos.2015.06.024
  2. Watnik NF, Coburn M, Goldberger M. Urologic injuries in pelvic ring disruptions. Clin Orthop Relat Res. 1996;329:37-45. https://doi.org/10.1097/00003086-199608000-00006
  3. Bromberg W, Wong C, Kurek S, Salim A. Traumatic bilateral testicular dislocation. J Trauma. 2003;54:1009-11. https://doi.org/10.1097/01.TA.0000055220.78753.25
  4. Neistadt A. Bilateral traumatic dislocation of the testis. J Urol. 1967;97:1057-8. https://doi.org/10.1016/S0022-5347(17)63176-8
  5. Schwartz SL, Faerber GJ. Dislocation of the testis as a delayed presentation of scrotal trauma. Urology. 1994;43:743-5. https://doi.org/10.1016/0090-4295(94)90203-8
  6. Tai YS, Chen YS, Tsai PK, Wong WJ. Traumatic testicular dislocation: a rare occurrence of blunt scrotal injury. Urol Sci. 2014;25:158-60. https://doi.org/10.1016/j.urols.2014.04.001
  7. Smith CS, Rosenbaum CS, Harris AM. Traumatic bilateral testicular dislocation associated with an anterior posterior compression fracture of the pelvis: a case report. J Surg Orthop Adv. 2012;21:162-4. https://doi.org/10.3113/JSOA.2012.0162
  8. Matzek BA, Linklater DR. Traumatic testicular dislocation after minor trauma in a pediatric patient. J Emerg Med. 2013;45:537-40. https://doi.org/10.1016/j.jemermed.2012.11.093
  9. Ko SF, Ng SH, Wan YL, et al. Testicular dislocation: an uncommon and easily overlooked complication of blunt abdominal trauma. Ann Emerg Med. 2004;43:371-5. https://doi.org/10.1016/S0196-0644(03)00749-2
  10. Ezra N, Afari A, Wong J. Pelvic and scrotal trauma: CT and triage of patients. Abdom Imaging. 2009;34:541-4. https://doi.org/10.1007/s00261-008-9417-3