検査と技術52巻3号

2024年03月発行

増大号 POCUSの決め手。　早く、正確な診断のために 4章　症状別検査の進め方

小児の精巣腫大・痛み

著者： 市橋光¹

所属機関： ¹愛正会記念茨城福祉医療センター小児科

ページ範囲：P.351 - P.356

はじめに

　男子の陰囊が急に腫れて痛くなる症状を“急性陰囊症”と称するが，その中で最も重要な疾患は精巣（精索）捻転である．本稿では精巣（精索）捻転を中心に述べ，他の鑑別疾患についても触れる．

参考文献

1）Visser AJ, Heyns CF. Testicular function after torsion of the spermatic cord. BJU Int. 2003; 92: 200-203.

2）Friedman N, et al. Accuracy of point-of-care ultrasound by pediatric emergency physicians for testicular torsion. J Pediatr Urol. 2019; 15: 608.e1-608.e6.

3）Mori T, et al. Diagnostic accuracy of point-of-care ultrasound for paediatric testicular torsion: a systematic review and meta-analysis. Emerg Med J. 2023; 40: 140-146.

4）Kadish HA, Bolte RG. A retrospective review of pediatric patients with epididymitis, testicular torsion, and torsion of testicular appendages. Pediatrics 1998; 102(1 Pt 1): 73-76.

5）Murphy FL, et al. Early scrotal exploration in all cases is the investigation and intervention of choice in the acute paediatric scrotum. Pediatr Surg Int. 2006; 22: 413-416.

6）Waldert M, et al. Color Doppler sonography reliably identifies testicular torsion in boys. Urology 2010; 75: 1170-1174.

7）Kaye JD, et al. Parenchymal echo texture predicts testicular salvage after torsion: potential impact on the need for emergent exploration. J Urol. 2008; 180(4 Suppl): 1733-1736.