Yoshinaga Atsushi, Morozumi Makoto, Yoshida Soichiro, Ohno Rena, Ishii Nobuyuki, Terao Toshiya, Kamata Shigeyoshi, Hayashi Tetsuo, Yamada Takumi
Department of Urology, Saitama Medical Center, Saitama, Medical School.
Nihon Hinyokika Gakkai Zasshi. 2007 Jan;98(1):30-3. doi: 10.5980/jpnjurol1989.98.30.
An infant was referred to our department with complaint of abnormality of the external genitalia. Hypospadias and right inguinal hernia were detected and left testis was palpable, but right testis was not palpable. Chromosomal examination revealed 45, X/46, X, idic (Y) (q11.2). On ultrasonographic examination, uterus and ovary were not recognized. At one year of age, we performed operation of right inguinal hernia and right cryptorchism. During operation right spermatic cord and epididymis were detected, but right testis was not detected. At two years of age, urethroplasty was performed. After the operation closure of hypospadias fistulas was performed. Now the patient does not have fistulas and has good clinical progress.
一名婴儿因外生殖器异常被转诊至我科。检查发现患有尿道下裂和右侧腹股沟疝,左侧睾丸可触及,但右侧睾丸未触及。染色体检查显示为45,X/46,X,idic(Y)(q11.2)。超声检查未发现子宫和卵巢。患儿1岁时,我们进行了右侧腹股沟疝和右侧隐睾手术。手术中发现了右侧精索和附睾,但未发现右侧睾丸。患儿2岁时进行了尿道成形术。术后对尿道下裂瘘口进行了闭合处理。目前患者没有瘘口,临床进展良好。