腹股沟疝修补术后发现睾丸横位异位。

Transverse testicular ectopia discovered following reduction of an inguinal hernia.

作者信息

Boyle Thomas A, Perez Eduardo A, Diez Ricardo, Sola Juan E, Sanz Eva E, Garcia Ana, Fuentes Ennio J

机构信息

DeWitt Daughtry Family Department of Surgery, Division of Pediatric Surgery, University of Miami Miller School of Medicine, Miami, FL.

Department of Surgery, Division of Pediatric Surgery, Hospital Quironsalud Sur, Madrid, Spain.

出版信息

J Pediatr Surg. 2019 Mar;54(3):608-611. doi: 10.1016/j.jpedsurg.2018.10.052. Epub 2018 Oct 22.

DOI:10.1016/j.jpedsurg.2018.10.052

PMID:30409476

Abstract

Transverse testicular ectopia is a rare condition in which both testicles occupy a single hemiscrotum. The aberrant positioning may lead to vascular compromise or impaired temperature regulation, which elevate the risks for torsion, infertility and testicular cancer. Definitive therapy consists of orchiectomy or orchiopexy. We report a case of a 10-month-old boy with an incarcerated inguinal hernia who was discovered to have transverse testicular ectopia following hernia reduction. The patient was treated with herniorrhaphy and open transseptal orchiopexy.

摘要

睾丸横过异位是一种罕见的病症，即双侧睾丸位于同一个阴囊内。这种异常的位置可能导致血管受压或温度调节受损，从而增加睾丸扭转、不育和睾丸癌的风险。确切的治疗方法包括睾丸切除术或睾丸固定术。我们报告一例10个月大的男孩，因嵌顿性腹股沟疝接受疝修补术，在疝复位后发现患有睾丸横过异位。该患者接受了疝修补术和开放性经中隔睾丸固定术。