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[交叉性睾丸异位。一例报告]

[Crossed testicular ectopia. Report of a case].

作者信息

Fernández Jiménez I, Peláez Mata D, Alvarez Muñoz V, Alvarez Zapico J A, Teixidor de Otto J L

机构信息

Servicio de Cirugía Pediátrica, Hospital Central de Asturias, C/Celestino Villamil s/n, 33006 Oviedo.

出版信息

Cir Pediatr. 2000 Jul;13(3):129-31.

Abstract

Crossed testicular ectopia is a rare congenital malformation in which both testis are located in the same hemiscrotum, and is related to an anomaly in normal testicular descent. This entity was first described by Lenhossek in 1886 and posteriorly by Halstead in 1907. Since then, there have been described less than a hundred of cases of this rare congenital malformation. Several ethiopathogenic theories have been proposed, including testicular adherence to mullerian structures, fusion of the wolffian ducts or defective gubemacular development, although none of them has been widely accepted. Usually, clinical sign is an inguinal hernia with empty contralateral hemiscrotum, and sometimes both testis in ipsilateral hemiscrotum. A new case of this pathology is presented.

摘要

交叉性睾丸异位是一种罕见的先天性畸形,即双侧睾丸位于同一侧阴囊内,与正常睾丸下降异常有关。该病症于1886年由伦霍塞克首次描述,1907年哈尔斯特德又对其进行了描述。自那时起,这种罕见先天性畸形的病例报道不足百例。已经提出了几种病因学理论,包括睾丸与苗勒管结构粘连、中肾管融合或睾丸引带发育缺陷,尽管这些理论均未被广泛接受。通常,临床体征为腹股沟疝伴对侧阴囊空虚,有时双侧睾丸位于同侧阴囊内。本文报告了1例该病症的新病例。

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