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Methamphetamine use can mimic testicular torsion

机译:甲基苯丙胺的使用可以模拟睾丸扭转

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We report the case of a patient presenting with the classic clinical appearance of testicular torsion. Ultrasound showed testicular ischemia supporting the clinical diagnosis, but the lack of visualization of spermatic cord torsion was of concern. An attempt of clinical detorsion was considered unsuccessful and the patient was explored. No torsion was found. On postoperative review of the patient's medical history, we found methamphetamine use, with a positive urine test at the time of his emergent consultation for the scrotal pain episode. The use of amphetamines has been previously reported as the cause of ischemia of multiple organs, but we could not find previous reports of involvement of the testis mimicking torsion.
机译:我们报告了一个典型的睾丸扭转临床表现的病人的情况。超声显示睾丸局部缺血支持临床诊断,但缺乏精索扭转的可视化值得关注。临床扭曲的尝试被认为是失败的,并且对该患者进行了研究。没有发现扭转。在对患者的病史进行术后回顾时,我们发现使用了甲基苯丙胺,在他的阴囊痛发作紧急诊治时尿液检查呈阳性。苯丙胺类药物的使用先前已被报道为多器官缺血的原因,但我们找不到先前报道的睾丸模拟扭转参与的报道。

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