Citation

Fry E, Counselman FL. J. Emerg. Med. 2010; 38(5): 587-592.

Copyright

(Copyright © 2010, Elsevier Publishing)

DOI

10.1016/j.jemermed.2007.07.018

PMID

18155384

Abstract

A 38-year-old man with a history of schizophrenia presented with pain and swelling of his testicles, with the right side worse than the left. Physical examination was remarkable for a very firm, large, right-sided scrotal mass. Testicular ultrasound was suspicious for neoplasm or abscess. On the pelvic computed tomography (CT) scan, which was obtained as part of a metastatic cancer work-up, two metallic foreign bodies were identified in the pelvis. On further questioning, the patient admitted to ingesting the nails 2 days prior, in a suicide attempt. We review the evaluation of unilateral scrotal pain and swelling, and incidental foreign body ingestion.

Language: en

Keywords

Adult; Epididymitis; Foreign-Body Migration; Foreign-Body Reaction; Humans; Male; Schizophrenia; Suicide, Attempted; Tomography, X-Ray Computed