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Skrotalt trauma

Senast reviderad:


Definition:
Skador i skrotum orsakad av ett trauma.
Förekomst:
Ovanligt.
Symtom:
Akut smärta, illamående, kräkning och ibland synkope.
Kliniska fynd:
Ibland normala fynd. Andra gånger ömt och svullet skrotum. 
Diagnostik:
Vid lindrig våld inga ytterligare undersökningar. Vid allvarligare fall ultraljud och/eller kirurgisk exploration.
Behandling:
Ofta endast symtomlindrande behandling, men i vissa fall kirurgisk behandling. Vid bett kan antibiotika bli aktuellt. 
  1. Grigorian A, Livingston JK, Schubl SD, et al. National analysis of testicular and scrotal trauma in the USA. Res Rep Urol. 2018;10:51–56. PMID:30128306. PubMed  
  2. Bourke MM, Silverberg JZ. Acute Scrotal Emergencies. Emerg Med Clin North Am. 2019;37(4):593–610. PMID:31563197. PubMed  
  3. Wang A, Stormont I, Siddiqui MM. A Review of Imaging Modalities Used in the Diagnosis and Management of Scrotal Trauma. Curr Urol Rep. 2017;18(12):98. PMID:29081016. PubMed  
  4. EAU Guidelines. Edn. presented at the EAU Annual Barcelona Spain 2019. ISBN 978-94-92671-04-2. uroweb.org  
  5. Güneş M, Umul M, Altok M, Akyüz M, İşoğlu CS, Uruç F, et al. Is it possible to distinguish testicular torsion from other causes of acute scrotum in patients who underwent scrotal exploration? A multi-center clinical trial. Cent European J Urol. 2015. 68 (2):252-6.
  6. Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006; 175: 175-8. www.ncbi.nlm.nih.gov  
  7. Randhawa H, Blankstein U, Davies T. Scrotal trauma: A case report and review of the literature. Can Urol Assoc J. 2019;13(6 Suppl4):S67–S71. PMID:31194930. PubMed  
  8. Lucky M, Brown G, Dorkin T, et al. British Association of Urological Surgeons (BAUS) consensus document for the management of male genital emergencies - testicular trauma. BJU Int. 2018;121(6):840–844. PMID:29635819. PubMed  
  • Remy Waardenburg, specialist i allmänmedicin, medicinsk redaktör Medibas