患者,男,34岁,既往患右侧腹股沟斜疝,有嵌顿史并曾手法复位。平时可自行返纳,偶尔下腹不适。于1999年5月行输精管结扎术,术前返纳疝内容物,三指法固定输精管,钳穿法反复分离右侧输精管,在相当困难的情况下提取输精管至阴囊外,行两断端结扎,查无渗血后返纳精囊内。左侧手术方法同右侧,手术顺利。术后观察1小时无特殊。5小时后复诊;痛苦表情,行走困难,右侧阴囊肿大,肿物5cm× The patient, male, 34 years old, had a right inguinal indirect hernia, had a history of incarceration and had had a manual reduction. Usually back on their own, and occasionally lower abdomen discomfort. Vas deferens ligation in May 1999, the contents of hernia before surgery to return, the three-finger fixed vas deferens, the method of repeated removal of the vas deferens by forceps, under very difficult circumstances to extract the vas deferens to the outside of the scrotum, the line ends ligation, Check no bleeding after the return of seminal vesicle. The left side of the surgical approach with the right, the operation goes well. After 1 hour observation no special. 5 hours after the referral; painful expression, walking difficulties, right scrotum enlargement, mass 5cm ×