The man with the… hissing scrotum? The 72-year-old was baffled by hissing coming from his genitals to find he was escaping from an open wound
- Elderly man came to A&E with bizarre injury and shortness of breath
- The air came from a hole in his scrotum left by a previous operation
- US doctors discovered it was actually air leaking from the man’s collapsed lungs
A man who heard ‘hissing’ coming from his genitals has become the first person in the world to be diagnosed with ‘hissing scrotum’.
The unidentified 72-year-old went to an emergency room in Ohio complaining of his strange illness.
At the same time, he also found himself short of breath and had a swollen face.
The scans eventually revealed his lungs had collapsed and air was building up inside his body – a dangerous and life-threatening condition.
Doctors then discovered the source of the man’s scrotal wheezing – an open wound on the left side of his scrotum.
The injury, left over from testicular surgery to reduce swelling five months earlier, allowed trapped air to escape.
Doctors described the unusual case in the American Journal of Case Reports, saying they believed it was the first of its kind.
A CT scan of the 72-year-old man’s chest. The black arrows point to the collapsed human lungs while the white arrows point to air pockets (solid black areas) trapped between the internal space outside the lungs and inside the chest wall . The black areas on the man’s neck, shoulders and arms also show trapped air inside the body
This CT scan of the man’s lower abdomen shows the amount of air (black areas) inside his thighs and scrotum. Doctors who reported the case said an open wound in his scrotum acted as an ‘escape route’ for trapped air
A 48-year-old motorcyclist ruptured his TESTICLE after he lost control and crashed into a wall
An American was left with a ruptured testicle after losing control of his motorbike and crashing into a wall.
The 48-year-old, from New Jersey, went to hospital later that afternoon after his right testicle became so swollen he couldn’t sit up without pain atrocious.
He told doctors that most of the impact from the motorcycle crash “was in his scrotal area.”
Doctors who examined the man’s right testicle found it to be unusually hard and painful to touch.
An ultrasound revealed that the testicle had ruptured, causing blood to pool inside the tissue of the artery that normally supplies the reproductive organ.
Surgeons managed to save his testicle by inserting a special gel-foam into the ruptured blood vessel, only the third time such a procedure has been performed.
Doctors at St. Joseph’s University Medical Center in Paterson reported the case in a medical journal.
An X-ray of the man’s chest revealed he had ‘excessive’ amounts of air floating around in his body, which had caused his lungs to collapse. Without treatment, it can begin to impact heart and lung function and be life-threatening.
The complication was also to blame for his shortness of breath and swollen face.
Two plastic tubes were inserted into his chest to help drain excess air.
He was then transferred to another hospital for further treatment, Dr. Brant Bickford and colleagues wrote.
His condition then worsened, with the amount of air trapped between the lungs and chest wall increasing. This prompted doctors to insert another chest tube.
But after three days of hospitalization, his lungs had recovered. He was later released in stable condition.
However, he still had air trapped in his scrotum and abdomen for another two years, which was described as an ‘abnormally long period’. The doctors did not explain why this phenomenon occurred.
Doctors were eventually forced to remove both of his testicles before the issue was resolved, but it’s unclear why this was done.
The medical term for trapped air in the scrotum is pneumoscrotum, a rare condition. Only 60 cases have been described in the medical literature.
Many of these have been caused by penetrating injuries, which can lead to air entrapment.
None of the previously reported cases of pneumoscrotum had included a ready-made pathway for the air to escape.
Normally, this air requires medical intervention to escape because it cannot exit through body orifices.
Dr Bickford said it was unclear whether this ‘way out’ had actually helped the man’s condition or not.
“Whether the air leak lessened the patient’s presentation and led to a more favorable outcome will never be known,” he said.
Another unusual aspect of the case was the time it took for the air buildup in his scrotum, perineum and thighs to resolve.
Doctors said the man ‘categorically denied’ self-injecting air into his scrotum while recovering and that nothing in his behavior during a three-year follow-up had led them to believe it. doubt.
They also did not reveal when exactly the incident took place.
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