Wiedemann A, Jaussi R, Rabs U
Urologische Abteilung, Marienhospital, Gelsenkirchen.
Urologe A. 2005 Feb;44(2):162-5. doi: 10.1007/s00120-004-0740-1.
We describe a case of testicular duplication presenting as torsion of the supernumerary distal testis in a 14-year-old boy. Clinical examination showed an unclear mass above the left testis; intraoperatively, the supernumerary testis was linked to the regular testis by a common epididymis and shared a common vas with it. The distal testis was resected due to severe hemorrhagic damage. This condition represents the result of transversal division of the wolffian duct during organogenesis. Review of the literature revealed that testicular torsion, testicular tumor, unclear scrotal masses, or continuing potentia generandi after bilateral vasectomy were the reasons that polyorchidism was detected.
我们描述了一例14岁男孩睾丸重复畸形病例,表现为多余的远端睾丸扭转。临床检查显示左侧睾丸上方有一不明肿物;术中发现多余睾丸通过一条共同的附睾与正常睾丸相连,并与之共用一条输精管。由于严重的出血性损伤,远端睾丸被切除。这种情况是器官发生过程中中肾管横向分裂的结果。文献回顾显示,睾丸扭转、睾丸肿瘤、阴囊肿物不明或双侧输精管结扎术后仍有生殖能力是发现多睾症的原因。