Miwa S, Fuse H, Hirano S
Department of Urology, Kouseiren Takaoka Hospital.
Hinyokika Kiyo. 2000 Aug;46(8):561-4.
We report two cases of torsion of the spermatic cord in undescended testis. Case 1: A 23-year-old man was admitted to our hospital with the complaints of fever and left inguinal pain. He had cerebral palsy in his past history. Tentative diagnosis of acute epididymitis of left undescended testis was made, and antibacterial drugs were given. Response was poor, and torsion of the spermatic cord was suspected strongly. Torsion of the spermatic cord in undescended testis and severe testicular infarction were seen in surgery after 13-day conservative treatment. Orchiectomy was performed. Case 2: A 6-year-old boy was admitted to our hospital with the chief complaints of left inguinal mass and pain. He had felt abdominal pain for 3 days. Scrotal contents were impalpable and the diagnosis of torsion of the spermatic cord was made. Orchiectomy was performed due to severe testicular infarction.
我们报告两例隐睾精索扭转的病例。病例1:一名23岁男性因发热和左侧腹股沟疼痛入院。他既往有脑瘫病史。初步诊断为左侧隐睾急性附睾炎,并给予抗菌药物治疗。效果不佳,强烈怀疑精索扭转。经过13天的保守治疗后手术发现隐睾精索扭转和严重睾丸梗死。遂行睾丸切除术。病例2:一名6岁男孩因左侧腹股沟肿块和疼痛为主诉入院。他腹痛3天。阴囊内容物触诊不清,诊断为精索扭转。因严重睾丸梗死行睾丸切除术。