[一例精索鞘膜外扭转病例]

[A case of extravaginal twisting of spermatic cord].

作者信息

Ralahy F M, Rambel H, Rakototiana F A, Rabenasolo M, Rantomalala Y, Andriamanarivo L

机构信息

Service de chirurgie pédiatrique, CHU Joseph Andrianavalona, Antananarivo, Madagascar.

出版信息

Arch Pediatr. 2010 Oct;17(10):1448-50. doi: 10.1016/j.arcped.2010.07.006. Epub 2010 Aug 30.

DOI:10.1016/j.arcped.2010.07.006

PMID:20801007

Abstract

Extravaginal twisting of the spermatic cord is rare and its management is still open to debate. We report the case in a 12-day-old boy with right testicular pain evolving since birth. Scrototomy revealed a complete twist of the extravaginal spermatic cord. The testis was already necrotic and the intervention consisted in orchidectomy and orchidopexy. Twisting of the extravaginal cord remains a surgical emergency, which allows contralateral orchydopexy.

摘要

精索鞘膜外扭转罕见，其治疗仍存在争议。我们报告一例12日龄男婴，自出生起即出现右侧睾丸疼痛。阴囊切开术显示精索鞘膜外完全扭转。睾丸已坏死，手术干预包括睾丸切除术和睾丸固定术。精索鞘膜外扭转仍是一种外科急症，可行对侧睾丸固定术。