Wu R H, Kogan S J, Levitt S B
Urology. 1986 May;27(5):434-7. doi: 10.1016/0090-4295(86)90409-7.
A fifteen-year-old male presented with delayed puberty and cryptorchidism. Previous exploratory surgery for bilateral cryptorchidism resulted in left orchiectomy. The right testis was very high and intimately adherent to the mesentery of the appendix, and was left in situ. Subsequently progressive testicular failure was demonstrated by falling plasma testosterone and rising plasma gonadotropin levels. On elective surgical exploration, an atrophic testis with an independent blood supply was found adherent to the mesentery of the appendix. No spermatic duct was present, and orchiectomy was performed. The reasons for orchiectomy and the role of serial hormonal evaluations in the management of this unusual mesoappendicular testis case are reviewed.
一名15岁男性出现青春期发育延迟和隐睾症。既往因双侧隐睾症进行的探查手术导致左侧睾丸切除术。右侧睾丸位置极高，紧密附着于阑尾系膜，遂保留原位。随后，血浆睾酮水平下降和血浆促性腺激素水平升高表明出现了进行性睾丸功能衰竭。在择期手术探查中，发现一个有独立血供的萎缩睾丸附着于阑尾系膜。未发现精索，遂行睾丸切除术。本文回顾了行睾丸切除术的原因以及系列激素评估在这例罕见的阑尾系膜睾丸病例管理中的作用。
