BUT 72 year old man Once from Ohio, I came to the emergency room complaining of a swollen face, shortness of breath, and something very strange: hissing scrotum. Or, to put it another way: his testicles were ringing. Yes, oddly enough, the film covering his testicles let air through to such an extent that it emitted a slight hiss. Logically, this was something very strange for the patient, but the toilets did not take long to diagnose what was happening to him as pneumoscrotum.
This is not a particularly common pathology, but quite a few cases have been described in the scientific literature. However, this is usually only air accumulation, not necessarily from his sizzling release. This is usually due to an injury to the testicle area, although in his case he did not remember having it. But he had surgery to treat epididymitis. That is, inflammation of the tube that connects the testicles and the vas deferens, which in turn will lead to the ejaculatory tubes.
According to the scientists who treated him, in a study published in American Journal of Medical Records, with the indicated intervention, a scrotal incision was made and drainage was installed. Everything seemed to be going well, but shortly afterwards he ended up in the hospital with wheezing in the scrotumas well as other pathologies occurring due to the accumulation of air in the chest.
Much more than a hissing scrotum
Tests done on the patient revealed much more than scrotal hissing. also had Bilateral pneumothorax, pneumomediastinum and subcutaneous emphysema. The first consists of an accumulation of air in the cavity between the lungs and the chest, known as the pleural cavity. The second is also associated with the accumulation of air, this time in the cavity located between the two lungs. And finally, subcutaneous emphysema is the penetration of air into the tissues located under the skin.
Often pneumoscotum is accompanied by problems with the accumulation of air in the chest. For example, in 2011, a case was described of a man who developed it after a tracheostomy. After the intervention, he was diagnosed with subcutaneous emphysema, which led to pneumoscotum. Therefore, as a rule, air leakage leads to the fact that it accumulates around the testicles. But in this patient’s case, precisely because he had a previous incision, the air it came out little by little instead of accumulating.
Now, was it positive? This is unknown, as the authors of the study explained. “You never know if an air leak weakened presentation of the patient and led to a more favorable outcome.
Fortunately, it was treated.
The patient was treated with tubes that extra air came out of the chest. It also reduced pain in the scrotum. Nonetheless, had to undergo another intervention to return it to normal. And the worst thing is that in the future it may end up with the need to remove the testicles. Although everything will depend on its evolution.
At the moment, the most difficult thing has passed and he has been discharged. However, he will most likely never forget how what seemed like a very simple intervention led to one of those medical cases that happen to very few people in history.
Source: Hiper Textual
