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偶然在精索静脉结扎术中发现重复输精管。

A Case of Duplicated Vas Deferens Found Incidentally during Varicocelectomy.

机构信息

Department of Urology, Kyungpook National University School of Medicine, Daegu, Korea.

出版信息

World J Mens Health. 2013 Dec;31(3):268-71. doi: 10.5534/wjmh.2013.31.3.268. Epub 2013 Dec 24.

DOI:10.5534/wjmh.2013.31.3.268
PMID:24459663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3888899/
Abstract

Duplication of the vas deferens is a very rare congenital anomaly in which two vasa deferentia coexist within the spermatic cord. Duplication of the vas deferens can be found during herniorrhaphy, vasectomy, and varicocelectomy performed on the spermatic cord or around the spermatic cord. However, it is estimated that the incidence of duplication of the vas deferens is under-reported and under-recognized. Unless anomalies of the vas deferens such as duplication of the vas deferens are recognized by surgeons, it will be difficult to reduce vas deferens injuries and achieve a satisfactory surgical outcome. In addition, care should be taken in cases of duplication of the vas deferens because it can be complicated by non-testicular genitourinary anomalies. We report a case of duplication of the vas deferens discovered during routine varicocelectomy.

摘要

输精管重复是一种非常罕见的先天性异常,在这种情况下,两条输精管存在于精索内。输精管重复可在精索或精索周围的疝修补术、输精管结扎术和精索静脉曲张手术中发现。然而,据估计,输精管重复的发生率被低估和认识不足。除非外科医生认识到输精管的异常,如输精管重复,否则很难减少输精管损伤并获得满意的手术效果。此外,在输精管重复的情况下应谨慎处理,因为它可能与非睾丸泌尿生殖系统异常有关。我们报告了一例在常规精索静脉曲张手术中发现的输精管重复病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce97/3888899/41abab1ce3fa/wjmh-31-268-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce97/3888899/41abab1ce3fa/wjmh-31-268-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ce97/3888899/41abab1ce3fa/wjmh-31-268-g001.jpg

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本文引用的文献

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Int Urol Nephrol. 2012 Apr;44(2):385-91. doi: 10.1007/s11255-011-0042-7. Epub 2011 Aug 6.
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Anomalies of the wolffian duct derivatives encountered at radical prostatectomy.根治性前列腺切除术中遇到的沃尔夫管衍生物异常。
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Partial duplication of the vas deferens at the level of inguinal canal.腹股沟管水平的输精管部分重复。
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Duplication of the Vas Deferens: A Rare Anomaly.输精管重复:一种罕见的异常情况。
Ochsner J. 2021 Spring;21(1):108-110. doi: 10.31486/toj.19.0114.
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Duplicated vas deferens as an incidental finding during indirect inguinal hernia repair: A case report and literature review.腹股沟斜疝修补术中偶然发现的重复输精管:1例报告并文献复习
Qatar Med J. 2020 Mar 24;2020(1):12. doi: 10.5339/qmj.2020.12. eCollection 2020.
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Duplicate Vas Deferens Encountered during Inguinal Hernia Repair: A Case Report and Literature Review.腹股沟疝修补术中发现双侧输精管:病例报告及文献复习
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Br J Urol. 1959 Sep;31:336-9. doi: 10.1111/j.1464-410x.1959.tb09429.x.
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True duplication of the vas deferens.输精管真性重复
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J Pediatr Surg. 1988 Jan;23(1 Pt 2):21-3. doi: 10.1016/s0022-3468(88)80532-3.