Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, PA 15213, USA.
Urology. 2012 Sep;80(3):710-3. doi: 10.1016/j.urology.2012.04.037. Epub 2012 Jun 5.
An 8-year-old male with a history of VACTERL association was found to have a paratesticular mass. The patient was treated successfully with a radical orchiectomy and found to have ureteral ectopia inserting into the ipsilateral epididymis, resulting in this paratesticular mass caused by inflammation of the epididymis. This is the only reported case in the English literature of an ectopic ureter inserting into the epididymis and presenting as a paratesticular tumor. In unclear cases of paratesticular, inflammatory appearing masses, inguinal exploration is warranted.
一位 8 岁男性，患有 VACTERL 综合征，发现有附睪丸肿块。患者成功接受根治性睪丸切除术，发现输尿管异位插入同侧附睪，导致睪丸附睪炎引起该附睪丸肿块。这是英文文献中唯一报道的输尿管异位插入附睪并表现为睪丸旁肿瘤的病例。对于附睪旁、炎症性肿块不明确的病例，需要进行腹股沟探查。
