Papageorgiou Eleni, Mantovani Alberto, Monti Elena, Brain Caroline, Smeulders Naima, Cherian Abraham
Department of Paediatric Urology, Great Ormond Street Hospital For Children NHS Foundation Trust, London, United Kingdom of Great Britain and Northern Ireland.
Department of Paediatric Endocrinology, Great Ormond Street Hospital For Children NHS Foundation Trust, London, London, United Kingdom of Great Britain and Northern Ireland.
European J Pediatr Surg Rep. 2019 Jan;7(1):e96-e99. doi: 10.1055/s-0039-1688485. Epub 2019 Dec 13.
The vas deferens and spermatic vessels entering the inguinal canal through the internal inguinal ring is thought to exclude an intra-abdominal testis. We present a case of high bilateral intra-abdominal testes on a 46,XY boy despite the vas deferens and good-sized vessels passing through the deep rings. Data were collected from clinical records, radiology (ultrasound, magnetic resonance imaging [MRI]), and endocrine blood tests. This case underlines the importance of following the pathway of embryological descent of the testis cranially as well as caudally during diagnostic laparoscopy, to avoid missing this rare anatomical variant.
输精管和精索血管通过腹股沟内环进入腹股沟管，一般认为这可排除腹内睾丸的存在。我们报告了一例46,XY男孩双侧高位腹内睾丸的病例，尽管输精管和粗大血管通过了深环。数据收集自临床记录、放射学检查（超声、磁共振成像[MRI]）和内分泌血液检查。该病例强调了在诊断性腹腔镜检查时，沿睾丸胚胎下降路径由头端至尾端进行追踪的重要性，以避免漏诊这种罕见的解剖变异。
