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一名82岁男性尸体中单侧中肾管衍生物完全缺如:胚胎学、解剖学及临床考量

Unilateral Complete Agenesis of Mesonephric Duct Derivatives in an 82-year-Old Male Cadaver: Embryology, Anatomy and Clinical Considerations.

作者信息

Darcy David G, Yao-Cohen Morgen, Olson Todd R, Downie Sherry A

机构信息

Department of Surgery, Montefiore Medical Center, 182 East 210th St, Bronx, NY 10467, USA.

Department of Anatomy and Structural Biology, Albert Einstein College of Medicine, 1300 Morris Park Ave, Bronx, NY 14061, USA.

出版信息

Urol Case Rep. 2017 Sep 1;15:20-22. doi: 10.1016/j.eucr.2017.06.003. eCollection 2017 Nov.

DOI:10.1016/j.eucr.2017.06.003
PMID:28879095
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5582374/
Abstract

Development of urogenital anatomy in the human fetus is the result of a complex interplay between multiple different tissues. The time course of development is well documented and the morphologic outcomes of insults at various time points during development are predictable. We present a cadaveric case of unilateral agenesis of the left kidney, ureter, bladder hemitrigone, ureteric opening, seminal vesicle, vas deferens, and epididymis. Failure of development of the mesonephric duct early during embryogenesis, likely between the third and fifth week, caused ipsilateral urogenital organ agenesis.

摘要

人类胎儿泌尿生殖系统解剖结构的发育是多种不同组织之间复杂相互作用的结果。发育的时间进程有充分记录,并且发育过程中各个时间点损伤的形态学结果是可预测的。我们展示了一例尸体病例,其左肾、输尿管、膀胱半三角区、输尿管开口、精囊、输精管和附睾单侧发育不全。胚胎发生早期,可能在第三至第五周,中肾管发育失败导致同侧泌尿生殖器官发育不全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c29b/5582374/21a4689af956/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c29b/5582374/f15872e8e2b0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c29b/5582374/93ae3a883599/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c29b/5582374/21a4689af956/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c29b/5582374/f15872e8e2b0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c29b/5582374/93ae3a883599/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c29b/5582374/21a4689af956/gr3.jpg

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Reprod Sci. 2025 Sep 8. doi: 10.1007/s43032-025-01964-x.

本文引用的文献

1
Congenital unilateral solitary kidney: report of 37 cases and a review of the literature.先天性单侧孤立肾:37例报告及文献复习
Urol Surv. 1961 Dec;11:219-29.
2
Unilateral renal agenesis associated with congenital bilateral absence of the vas deferens: phenotypic findings and genetic considerations.单侧肾发育不全伴先天性双侧输精管缺如:表型特征及遗传学考量
Hum Reprod. 2001 Feb;16(2):282-8. doi: 10.1093/humrep/16.2.282.
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Clinical findings in congenital absence of the vasa deferentia.
Andrologia. 2000 Jan;32(1):13-8.
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Urogenital anomalies in men with congenital absence of the vas deferens.先天性输精管缺如男性的泌尿生殖系统异常
J Urol. 1996 May;155(5):1644-8.
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Association of congenital abnormalities of the kidney and urinary tract with those of other organ systems in 13,775 autopsies.13775例尸检中肾脏和泌尿系统先天性异常与其他器官系统先天性异常的关联
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