Man who heard a ‘hissing’ noise is first in the world to be diagnosed with a ‘WHISTLING’ scrotum | The Sun

A MAN has become the first to be diagnosed with a “whistling scrotum” in a bizarre medical phenomenon.

The 72-year-old, who has not been named, turned up to A&E in Ohio complaining of his melodic genitalia, as well as a swollen face and tight chest.

When doctors conducted scans on the distressed man, they found a life-threatening problem.

Air had leaked from his lungs and into the space between the lungs and chest.

This caused his lungs to collapse (pneumothorax), and on physical examination, the man was found to have a crackling sound across his chest.

His collapsed lungs had also led to subcutaneous emphysema – when air becomes trapped in tissues beneath the skin.

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The air was primarily stuck in the tissue of the stomach, scrotum and perineum.

While it isn’t necessarily dangerous and doesn’t even require treatment, complications can occur that put pressure on the heart and lungs.

Doctors then discovered the man had an open wound on the left side of his scrotum from an operation some five months earlier.

It was this perculiar finding that solved the mystery of his whistling scrotum.

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The wound had become a way for the trapped air to leave, causing the whistling, medics explained in the American Journal of Case Reports.

Two plastic tubes were inserted into the patient’s chest to help drain the excess air.

But his condition worsened when he was moved to another hospital for treatment.

Another test tube was added and thankfully, over three days, the picture began improving.

But the excess gas in the man’s scrotum, thighs, perineum and abdomen remained.

The man suffered for an additional two years, which was described as an “abnormally long time.”

Air trapped in the scrotum specifically is called pneumoscrotum, and only 60 cases have been described previously.

But Dr Brant Bickford and his team said “none of the previously documented cases included a route for air to escape from the chest cavity outside the body, which was the case with our patient with an open wound in the scrotum”.

Therefore, they are likely to be the first to describe a whistling body part.

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The man had to go through two more procedures in his scrotum to relieve the trapped air.

Doctors never worked out why the man ended up with trapped air and collapsed lungs, which is commonly caused by a chest injury.

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