Pediatric Surgery Unit, Department of Radiology DEA, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, Italy.
Urology. 2012 Jan;79(1):212-4. doi: 10.1016/j.urology.2011.05.007. Epub 2011 Jul 8.
To report on a case of a progressively enlarging intrahepatic cyst in a 1-year-old boy who also presented with bilateral undescended testes. At surgery, the lesion emerged from the anterior surface of the liver but was unexpectedly found to arise from the epididymis of the right testis, which was located intra-abdominally. The histologic findings were consistent with a paratesticular cyst of vestigial remnants derived from the Wolffian duct. Such an unusual event has not been previously reported among the possible location of a paratesticular cyst, nor has it been described in the differential diagnosis of cystic lesions of the liver.
报告一例 1 岁男童逐渐增大的肝内囊肿病例,该男童还伴有双侧隐睾。手术时,病变从肝脏前表面出现,但出乎意料的是,它源自位于腹腔内的右侧睾丸的附睾,组织学检查结果符合来自 Wolffian 管的退化残余的副睾囊肿。这种不寻常的事件以前在副睾囊肿的可能位置中没有报道过,也没有在肝囊性病变的鉴别诊断中描述过。