Mohamed Ferzine, Telugu Ramesh Babu, Karl Immanuel Sampath
Department of Paediatric Surgery, Christian Medical College and Hospital Vellore, Vellore, Tamil Nadu, India.
Department of General Pathology, Christian Medical College, Vellore, Tamil Nadu, India.
BMJ Case Rep. 2017 Aug 8;2017:bcr-2017-220474. doi: 10.1136/bcr-2017-220474.
We, herein, present a male neonate with an antenatally detected intra-abdominal cyst who presented at 18 days of life at which time, the ultrasound revealed a 5×4 cm cyst. Since he was asymptomatic, we planned to repeat the ultrasound a month later and operate if the cyst showed no regression. However, a week later, he presented with an acute abdomen, irritable cry and a repeat ultrasound showing a larger (8×6 cm) cystic mass with debris within. He was taken up for an emergency laparotomy. Intraoperatively, the cyst was found arising from the left lateral abdominal wall free from all structures with a twisted pedicle. Histopathology surprisingly revealed seminiferous tubules within the cyst wall with the vas deferens, thus confirming the diagnosis of a torsion of intra-abdominal testis. Hence, we emphasise the importance of examining for an undescended testis when dealing with a male neonate presenting with a cystic intra-abdominal mass.
在此，我们报告一例产前检测出腹腔内囊肿的男婴，其于出生18天时就诊，当时超声显示有一个5×4厘米的囊肿。由于他没有症状，我们计划一个月后复查超声，如果囊肿没有缩小则进行手术。然而，一周后，他出现急腹症、哭声烦躁，复查超声显示囊肿增大（8×6厘米），内部有碎屑。他接受了急诊剖腹手术。术中发现囊肿起源于左外侧腹壁，与所有结构无关联，有一个扭转的蒂。组织病理学令人惊讶地显示囊肿壁内有生精小管和输精管，从而确诊为腹腔内睾丸扭转。因此，我们强调在处理出现腹腔内囊性肿块的男婴时，检查有无隐睾的重要性。
