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[睾丸动脉瘤:一例报告及文献复习]

[Aneurisma de arteria testicular: reporte de un caso y revisión de la literatura].

作者信息

Durán-Sánchez Edgar O, Mendivil-Guerrero César A, García-Norzagaray Juan C, Villalobos-López Jesús A, Valle-Leal Jaime G

机构信息

Departamento de Cirugía General, Hospital General Regional Número Uno, Instituto Mexicano del Seguro Social. Ciudad Obregón, Sonora, México.

Departamento de Angiología y Cirugía Vascular, Unidad Médica de Alta Especialidad 167. Ciudad Obregón, Sonora, México.

出版信息

Bol Med Hosp Infant Mex. 2018;75(6):373-376. doi: 10.24875/BMHIM.18000017.

Abstract

BACKGROUND

Aneurysm of the testicular artery is a rare entity; the term is described as the dilation of any blood vessel in the body.

CASE REPORT

An 18-year-old patient with a left testicular artery aneurysm, with no family or personal history of medical importance, presented for consultation due to a volume increase of long evolution in the inguinal region, accompanied by sporadic pain with no other symptoms. The testicular artery aneurysm was not detectable preoperatively by ultrasound, which only reported data compatible with left inguinal hernia and varicocele. The diagnosis was made postoperatively by a histopathological study. This case highlights the presentation of a true aneurysm of the testicular artery and the result after definitive surgical treatment.

CONCLUSIONS

The etiology of the aneurysm and pseudoaneurysm reported in the literature is described after a testicular trauma and, a few cases of congenital origin. The clinical manifestations are pain and an inguinal mass, which can be frequently confused with inguinal hernias or an aggregated pathology. Therefore, the approach of patients with inguinal or testicular pathology should be protocolized and include aneurysm within the differential diagnoses.

摘要

背景

睾丸动脉瘤是一种罕见的病症;该术语被描述为身体内任何血管的扩张。

病例报告

一名18岁的左睾丸动脉瘤患者,无具有医学重要性的家族或个人病史,因腹股沟区长期肿大且伴有偶发性疼痛但无其他症状而前来咨询。术前超声未检测到睾丸动脉瘤,超声仅报告了与左侧腹股沟疝和精索静脉曲张相符的数据。术后通过组织病理学研究做出诊断。本病例突出了睾丸动脉真性动脉瘤的表现及确定性手术治疗后的结果。

结论

文献中报道的动脉瘤和假性动脉瘤的病因是睾丸创伤后,以及少数先天性起源的病例。临床表现为疼痛和腹股沟肿块,常可与腹股沟疝或合并病症相混淆。因此,对于腹股沟或睾丸病变患者的处理应制定规范流程,鉴别诊断中应包括动脉瘤。

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