Staniuk Tomasz, Szymański Łukasz, Trocha Mirosław
Pol Przegl Chir. 2012 Oct;84(10):526-30. doi: 10.2478/v10035-012-0088-y.
Intra-abdominal neoplasmatic testicular torsion is a very rare clinical condition, which is normally not considered during differential diagnosis of acute appendicitis. The above-mentioned is most often observed in patients after puberty, without any previous specific symptoms apart from the absence of the testis in the scrotum and inguinal canal or periodic pain in the right lower abdomen. The study presented a case of a 22-year old male patient who was admitted and operated with suspicion of acute appendicitis. During surgery we observed intra-abdominal testicular torsion, both the testis and appendix were excised. Postoperative histopathological results were as follows: seminoma of the testis and normal appendix. The study presented available data concerning the above-mentioned rare clinical condition, as well as principles of diagnosis and treatment.
腹腔内肿瘤性睾丸扭转是一种非常罕见的临床病症，在急性阑尾炎的鉴别诊断中通常不会被考虑。上述情况最常出现在青春期后的患者中，除了阴囊和腹股沟管内没有睾丸或右下腹周期性疼痛外，没有任何先前的特定症状。该研究报告了一例22岁男性患者，因疑似急性阑尾炎入院并接受手术。手术中我们发现了腹腔内睾丸扭转，睾丸和阑尾均被切除。术后组织病理学结果如下：睾丸精原细胞瘤，阑尾正常。该研究介绍了有关上述罕见临床病症的现有数据以及诊断和治疗原则。
