本院曾收治在夜间熟睡时自发性睾丸扭转一例,因贻误诊治,以致睾丸坏死。睾丸扭转多发生于剧烈活动或体力劳动时,睡眠状态下发生睾丸扭转实属罕见,国内文献未见报道。患者祝××,男性,21岁,嵊县籍,农民,未婚,住院号82501。主诉左侧睾丸剧烈疼痛4天,于1982年12月2日上午入院。4天前晚上入睡后两小时,突然发生左侧睾丸剧烈疼痛,左腹股沟部及左腰部有放射痛。立即去当地医院就诊,拟诊“睾丸炎”,而用青、链霉素肌注和索密痛片口服。经治疗无效而转来我院。患者既往无睾丸疼痛史,无畏寒发热,睾丸无外伤史,无腮腺炎病史。检查:体温36.8℃,左髋关节屈曲位,左侧阴囊部块 The hospital had admitted to sleep during sleep at night when a case of spontaneous testicular torsion, due to misdiagnosis, resulting in testicular necrosis. Testicular torsion occurred in severe activity or manual labor, testicular torsion occurs during sleep is rare, the domestic literature has not been reported. Patient Zhu × ×, male, 21 years old, Sheng County, peasant, unmarried, hospital number 82501. Chief complaint left severe testicular pain 4 days, on December 2, 1982 morning admission. Two hours after falling asleep four days ago, sudden onset of severe pain in the left testicle and radiating pain in the left groin and left lower abdomen occurred suddenly. Immediately to the local hospital for treatment, to be diagnosed with “orchitis”, but with green, streptomycin intramuscular and Sopoei pain tablets oral. After treatment invalid and transferred to our hospital. No past history of testicular pain, no chills, fever, no history of testicular injury, no history of mumps. Check: body temperature 36.8 ℃, left hip flexion, left scrotum block