McDermott Frank Denis, Heeney Anna, Kelly Michael E, Winter Des C
Department of Colorectal Surgery, St Vincents University Hospital, Dublin, Ireland.
BMJ Case Rep. 2014 Jun 25;2014:bcr2014203541. doi: 10.1136/bcr-2014-203541.
A 42-year-old man presented acutely with lower abdominal peritonism and a medical history of a right orchidopexy as a child. Further history from his mother revealed that during the procedure the left testicle could not be found. In view of his unusual history and the nature of the pain a CT scan was performed demonstrating a 10×8 cm solid mass above the bladder. The mass was removed electively and revealed a torted left testicular mass. Histopathology confirmed a torted seminomatous tumour. This case highlights the importance of returning undescended testes to the scrotum or confirming absence to preserve function and ease surveillance of potential future neoplastic transformation. The current management for impalpable undescended/absent testicles involves radiological imaging, inguinal and/or laparoscopic exploration and orchidopexy before 18 months of age.
一名42岁男性急性出现下腹部腹膜炎，有儿童期右侧睾丸固定术病史。从其母亲处进一步了解到，手术过程中未找到左侧睾丸。鉴于其不寻常的病史和疼痛性质，进行了CT扫描，显示膀胱上方有一个10×8厘米的实性肿块。该肿块被择期切除，结果显示为扭转的左侧睾丸肿块。组织病理学证实为扭转的精原细胞瘤。该病例凸显了将隐睾降至阴囊或确认其缺失以保留功能并便于监测未来潜在肿瘤转化的重要性。目前对于无法触及的隐睾/睾丸缺失的处理方法包括在18个月龄前进行放射影像学检查、腹股沟和/或腹腔镜探查以及睾丸固定术。
