Teklali Youssef, Piolat Christian, Jacquier Catherine, Nugues Frédérique, Dyon Jean-François
Clinique universitaire de chirurgie pédiatrique, CHU Grenoble, France.
Prog Urol. 2007 Jun;17(4):872-4. doi: 10.1016/s1166-7087(07)92312-x.
Polyorchidism is an urogenital curiosity defined by the presence of more than two testes confirmed by histology. This anomaly is extremely rare and only a hundred world cases were described in the literature. Although it can remain asymptomatic, polyorchidism is often associated to processus vaginalis anomalies in childhood (hernia, hydrocele) and undescended testis. The review of the literature finds cases of polyorchidism revealed by testis torsion and an increased risk of malignancy and infertility. We report the case of polyorchidism in a 14 year old child, at whom a painful testis mass indicate surgical exploration and documented the histological diagnosis of polyorchidism. Through this observation and review of the literature, authors describe pathological and managment findings of polyorchidism.
多睾症是一种泌尿生殖系统的罕见病症,其定义为经组织学证实存在两个以上睾丸。这种异常极为罕见,文献中仅描述了全球一百例病例。尽管多睾症可能无症状,但在儿童期常与鞘状突异常(疝气、鞘膜积液)和隐睾有关。文献回顾发现多睾症病例可由睾丸扭转引发,且存在恶性肿瘤和不育风险增加的情况。我们报告一例14岁儿童多睾症病例,该患儿因睾丸疼痛性肿块接受手术探查,组织学诊断为多睾症。通过该病例观察及文献回顾,作者描述了多睾症的病理学及治疗结果。